Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.63 / $2,318.00 / $16,042.00	Facility		$977.63	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.62 / $977.63 / $1,319.81	Professional		$940.62	$977.63	$1,319.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.40 / $10,338.00 / $26,304.00	Facility		$1,852.40	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.21 / $1,116.70 / $1,541.04	Professional		$866.21	$1,116.70	$1,541.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.70 / $1,224.21 / $1,412.55	Facility		$941.70	$1,224.21	$1,412.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $941.70 / $1,130.04 / $1,412.55	Professional		$941.70	$1,130.04	$1,412.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.59 / $1,289.57 / $2,315.51	Professional		$955.59	$1,289.57	$2,315.51
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 $891.75 / $1,154.03 / $2,028.75	Professional		$891.75	$1,154.03	$2,028.75