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 / $9,772.37	Facility		$851.14	$2,818.38	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,090.30	Professional		$1,819.70	$2,089.30	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $11,220.18	Facility		$8,912.51	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,951.21	Professional		$1,819.70	$2,187.76	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,162.28	Facility		$1,905.46	$2,630.27	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,235.94	Professional		$2,137.96	$2,691.53	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,548.13 / $3,548.13	Facility		$34.67	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $11,748.98	Professional		$2,238.72	$3,467.37	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,981.07	Professional		$1,819.70	$2,454.71	$3,981.07