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 $2,041.74 / $2,398.83 / $4,168.69	Professional		$2,041.74	$2,398.83	$4,168.69
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 $1,862.09 / $2,238.72 / $3,090.30	Professional		$1,862.09	$2,238.72	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $3,981.07	Facility		$2,137.96	$3,090.30	$3,981.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,801.89	Professional		$2,290.87	$3,090.30	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,168.69 / $4,168.69	Facility		$34.67	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $12,022.64	Professional		$2,454.71	$3,981.07	$12,022.64
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 $2,041.74 / $2,884.03 / $4,466.84	Professional		$2,041.74	$2,884.03	$4,466.84