Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,907.38 / $13,304.00	Facility		$860.00	$1,907.38	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.25 / $1,745.79 / $1,907.38	Professional		$1,013.25	$1,745.79	$1,907.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.01 / $1,035.02 / $1,367.50	Professional		$765.01	$1,035.02	$1,367.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,307.19 / $33,619.19 / $55,999.44	Facility		$2,307.19	$33,619.19	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,307.19 / $29,626.92 / $51,912.00	Professional		$2,307.19	$29,626.92	$51,912.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,146.30 / $2,146.30 / $2,146.30	Facility		$2,146.30	$2,146.30	$2,146.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,478.37 / $8,478.37 / $8,478.37	Professional		$8,478.37	$8,478.37	$8,478.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $17,439.00 / $33,762.00	Facility		$3,000.00	$17,439.00	$33,762.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,643.87 / $2,058.96 / $4,957.80	Professional		$1,643.87	$2,058.96	$4,957.80