Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.86 / $2,472.00 / $17,225.00	Facility		$714.86	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.90 / $1,424.73 / $1,843.99	Professional		$698.90	$1,424.73	$1,843.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $11,294.00 / $22,813.00	Facility		$3,719.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.65 / $1,051.03 / $1,450.42	Professional		$667.65	$1,051.03	$1,450.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.25 / $915.53 / $2,163.33	Facility		$704.25	$915.53	$2,163.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,575.69 / $1,890.83 / $2,363.54	Professional		$1,575.69	$1,890.83	$2,363.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,333.94 / $5,333.94 / $6,322.87	Facility		$5,333.94	$5,333.94	$6,322.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.45 / $1,479.24 / $2,878.60	Professional		$787.45	$1,479.24	$2,878.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.93 / $2,141.77 / $3,940.42	Professional		$1,594.93	$2,141.77	$3,940.42