Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.94 / $2,760.39 / $14,063.00	Facility		$955.94	$2,760.39	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.40 / $955.94 / $1,093.50	Professional		$925.40	$955.94	$1,093.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $7,833.00 / $14,645.00	Facility		$3,536.00	$7,833.00	$14,645.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.58 / $1,148.36 / $1,700.84	Professional		$916.58	$1,148.36	$1,700.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $931.75 / $1,357.17 / $1,461.57	Facility		$931.75	$1,357.17	$1,461.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,043.98 / $1,252.78 / $1,484.56	Professional		$1,043.98	$1,252.78	$1,484.56
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 $995.91 / $1,269.56 / $1,885.50	Professional		$995.91	$1,269.56	$1,885.50
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 $899.18 / $1,185.91 / $2,345.11	Professional		$899.18	$1,185.91	$2,345.11