Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.55 / $3,500.00 / $7,000.00	Facility		$778.55	$3,500.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.49 / $778.55 / $1,134.23	Professional		$727.49	$778.55	$1,134.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.17 / $760.22 / $1,049.09	Professional		$646.17	$760.22	$1,049.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,223.03 / $2,291.92 / $27,518.13	Facility		$1,223.03	$2,291.92	$27,518.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,530.68 / $1,964.51 / $1,964.51	Professional		$1,530.68	$1,964.51	$1,964.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.97 / $1,003.49 / $1,003.49	Professional		$852.97	$1,003.49	$1,003.49
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 $954.71 / $1,430.64 / $2,310.40	Professional		$954.71	$1,430.64	$2,310.40