Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.63 / $1,386.00 / $4,846.00	Facility		$839.63	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.40 / $839.73 / $1,133.50	Professional		$752.40	$839.73	$1,133.50
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 $738.08 / $1,073.09 / $1,480.87	Professional		$738.08	$1,073.09	$1,480.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $865.91 / $1,140.97 / $1,711.46	Facility		$865.91	$1,140.97	$1,711.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.98 / $1,018.73 / $1,466.97	Professional		$814.98	$1,018.73	$1,466.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.93 / $1,126.52 / $1,833.36	Professional		$851.93	$1,126.52	$1,833.36
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 $739.72 / $985.35 / $1,768.60	Professional		$739.72	$985.35	$1,768.60