Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.29 / $3,500.00 / $7,000.00	Facility		$873.29	$3,500.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.96 / $873.29 / $1,292.13	Professional		$815.96	$873.29	$1,292.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,048.00 / $36,076.04 / $47,628.00	Facility		$5,048.00	$36,076.04	$47,628.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,336.90 / $1,671.13 / $2,256.02	Professional		$1,336.90	$1,671.13	$2,256.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.80 / $16,189.63 / $43,749.56	Facility		$1,012.80	$16,189.63	$43,749.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,875.01 / $2,205.89 / $2,205.89	Professional		$1,875.01	$2,205.89	$2,205.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.69 / $2,414.08 / $3,606.08	Professional		$1,733.69	$2,414.08	$3,606.08