Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.71 / $1,386.00 / $11,093.00	Facility		$763.71	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.71 / $1,163.92 / $1,346.91	Professional		$763.71	$1,163.92	$1,346.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.66 / $1,443.19 / $1,956.86	Professional		$878.66	$1,443.19	$1,956.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.75 / $1,080.42 / $1,755.50	Facility		$741.75	$1,080.42	$1,755.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,265.61 / $1,518.74 / $1,843.27	Professional		$1,265.61	$1,518.74	$1,843.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,623.15 / $2,623.15 / $2,623.15	Facility		$2,623.15	$2,623.15	$2,623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.91 / $1,459.74 / $2,065.25	Professional		$943.91	$1,459.74	$2,065.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.54 / $1,597.12 / $2,633.29	Professional		$1,162.54	$1,597.12	$2,633.29