Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.71 / $1,682.60 / $14,063.00	Facility		$654.71	$1,682.60	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.08 / $654.71 / $883.85	Professional		$628.08	$654.71	$883.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $16,615.00 / $22,727.47	Facility		$4,800.00	$16,615.00	$22,727.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.79 / $663.38 / $915.46	Professional		$522.79	$663.38	$915.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.69 / $823.80 / $950.54	Facility		$633.69	$823.80	$950.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $633.69 / $760.43 / $950.54	Professional		$633.69	$760.43	$950.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.07 / $826.77 / $1,504.08	Professional		$597.07	$826.77	$1,504.08
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 $587.19 / $763.27 / $1,379.08	Professional		$587.19	$763.27	$1,379.08