Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.06 / $2,453.00 / $16,042.00	Facility		$955.06	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.67 / $955.06 / $1,289.33	Professional		$862.67	$955.06	$1,289.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,641.00 / $10,700.00 / $17,513.00	Facility		$3,641.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.82 / $1,286.50 / $1,775.37	Professional		$872.82	$1,286.50	$1,775.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.16 / $1,295.91 / $1,943.87	Facility		$944.16	$1,295.91	$1,943.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $925.65 / $1,157.06 / $1,666.17	Professional		$925.65	$1,157.06	$1,666.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $4,634.62	Facility		$3,909.74	$3,909.74	$4,634.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.81 / $1,250.81 / $2,128.98	Professional		$1,003.81	$1,250.81	$2,128.98
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 $839.90 / $1,098.78 / $1,968.27	Professional		$839.90	$1,098.78	$1,968.27