Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,511.38	Facility		$851.14	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,630.27	Professional		$1,288.25	$1,479.11	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $8,511.38	Facility		$2,344.23	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,862.09	Professional		$1,148.15	$1,380.38	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,290.87	Facility		$1,202.26	$1,737.80	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,344.23	Professional		$1,288.25	$1,905.46	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $2,630.27	Facility		$1,862.09	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $7,943.28	Professional		$1,479.11	$2,454.71	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,691.53	Professional		$1,258.93	$1,737.80	$2,691.53