Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.99 / $3,826.33 / $17,225.00	Facility		$741.99	$3,826.33	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.99 / $1,553.15 / $4,107.51	Professional		$741.99	$1,553.15	$4,107.51
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 $641.28 / $1,098.30 / $1,510.15	Professional		$641.28	$1,098.30	$1,510.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.62 / $952.41 / $4,973.59	Facility		$732.62	$952.41	$4,973.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,586.73 / $4,304.08 / $5,380.10	Professional		$3,586.73	$4,304.08	$5,380.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,167.31 / $5,167.31 / $6,125.34	Facility		$5,167.31	$5,167.31	$6,125.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.45 / $1,733.72 / $5,793.56	Professional		$798.45	$1,733.72	$5,793.56
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 $2,660.57 / $3,921.74 / $7,278.21	Professional		$2,660.57	$3,921.74	$7,278.21