Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.49 / $2,472.00 / $17,225.00	Facility		$802.49	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.64 / $802.49 / $1,083.36	Professional		$753.64	$802.49	$1,083.36
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 $735.87 / $1,076.40 / $1,485.43	Professional		$735.87	$1,076.40	$1,485.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.96 / $1,010.05 / $1,165.44	Facility		$776.96	$1,010.05	$1,165.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.96 / $858.54 / $1,165.44	Professional		$776.96	$858.54	$1,165.44
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 $837.96 / $1,063.03 / $1,840.73	Professional		$837.96	$1,063.03	$1,840.73
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 $712.55 / $947.80 / $1,722.40	Professional		$712.55	$947.80	$1,722.40