Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $4,265.80	Professional		$2,137.96	$2,454.71	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,715.19 / $18,620.87	Facility		$9,332.54	$10,715.19	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,235.94	Professional		$1,905.46	$2,290.87	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,073.80	Facility		$2,187.76	$3,162.28	$4,073.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,715.35	Professional		$2,344.23	$3,019.95	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,265.80 / $4,265.80	Facility		$34.67	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $12,882.50	Professional		$2,570.40	$4,073.80	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,466.84	Professional		$2,089.30	$2,884.03	$4,466.84