Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.85 / $3,500.00 / $16,042.00	Facility		$870.85	$3,500.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $979.04 / $1,395.28	Professional		$813.69	$979.04	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $35,162.29 / $49,433.26	Facility		$5,778.00	$35,162.29	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,279.84 / $2,926.00 / $3,950.10	Professional		$2,279.84	$2,926.00	$3,950.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,321.41 / $19,821.21 / $31,509.27	Facility		$1,321.41	$19,821.21	$31,509.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,282.97 / $3,862.32 / $3,862.32	Professional		$3,282.97	$3,862.32	$3,862.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,235.00 / $12,296.00 / $17,416.00	Facility		$5,235.00	$12,296.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.66 / $1,491.01 / $2,507.88	Professional		$1,062.66	$1,491.01	$2,507.88