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 $1,412.54 / $1,621.81 / $2,818.38	Professional		$1,412.54	$1,621.81	$2,818.38
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 $1,258.93 / $1,513.56 / $2,137.96	Professional		$1,258.93	$1,513.56	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,691.53	Facility		$1,445.44	$2,089.30	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,570.40	Professional		$1,698.24	$2,089.30	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $2,884.03	Facility		$34.67	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $8,511.38	Professional		$1,659.59	$2,691.53	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
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 $1,380.38 / $1,905.46 / $2,951.21	Professional		$1,380.38	$1,905.46	$2,951.21