Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.31 / $1,386.00 / $4,846.00	Facility		$379.31	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.41 / $379.31 / $549.20	Professional		$354.41	$379.31	$549.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,391.00 / $2,391.00 / $4,614.63	Facility		$2,391.00	$2,391.00	$4,614.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.80 / $2,391.00 / $3,299.58	Professional		$1,912.80	$2,391.00	$3,299.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.30 / $783.85 / $15,968.72	Facility		$537.30	$783.85	$15,968.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.71 / $606.85 / $848.25	Professional		$505.71	$606.85	$848.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,682.70 / $3,156.12 / $3,156.12	Professional		$2,682.70	$3,156.12	$3,156.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,776.31 / $2,202.62 / $3,557.95	Professional		$1,776.31	$2,202.62	$3,557.95