Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.90 / $2,318.00 / $7,212.00	Facility		$935.90	$2,318.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.48 / $975.79 / $1,263.47	Professional		$880.48	$975.79	$1,263.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.35 / $7,572.00 / $18,942.00	Facility		$1,411.35	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.15 / $1,221.91 / $1,686.23	Professional		$905.15	$1,221.91	$1,686.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.15 / $1,176.70 / $1,357.73	Facility		$905.15	$1,176.70	$1,357.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.15 / $1,086.18 / $1,357.73	Professional		$905.15	$1,086.18	$1,357.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.17 / $1,249.70 / $1,820.48	Professional		$921.17	$1,249.70	$1,820.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.59 / $1,129.28 / $2,009.74	Professional		$833.59	$1,129.28	$2,009.74