Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.51 / $1,908.25 / $14,063.00	Facility		$742.51	$1,908.25	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.03 / $764.80 / $1,002.39	Professional		$711.03	$764.80	$1,002.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $17,380.30 / $25,253.12	Facility		$4,838.00	$17,380.30	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.38 / $948.30 / $1,308.65	Professional		$673.38	$948.30	$1,308.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.54 / $932.80 / $1,076.31	Facility		$717.54	$932.80	$1,076.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $717.54 / $861.05 / $1,076.31	Professional		$717.54	$861.05	$1,076.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.49 / $983.17 / $1,650.33	Professional		$768.49	$983.17	$1,650.33
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 $640.01 / $862.12 / $1,530.81	Professional		$640.01	$862.12	$1,530.81