Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.87 / $2,472.00 / $17,225.00	Facility		$784.87	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.48 / $784.87 / $1,063.76	Professional		$702.48	$784.87	$1,063.76
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 $682.48 / $1,026.20 / $1,416.15	Professional		$682.48	$1,026.20	$1,416.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $761.71 / $990.22 / $1,142.57	Facility		$761.71	$990.22	$1,142.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $761.71 / $890.51 / $1,142.57	Professional		$761.71	$890.51	$1,142.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,968.60 / $4,968.60 / $5,889.80	Facility		$4,968.60	$4,968.60	$5,889.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.99 / $1,064.10 / $1,705.12	Professional		$802.99	$1,064.10	$1,705.12
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 $682.76 / $914.05 / $1,653.25	Professional		$682.76	$914.05	$1,653.25