Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.24 / $1,854.00 / $16,042.00	Facility		$645.24	$1,854.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.85 / $678.83 / $920.62	Professional		$619.85	$678.83	$920.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.47 / $1,111.09 / $1,499.98	Professional		$695.47	$1,111.09	$1,499.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.97 / $877.02 / $1,315.53	Facility		$638.97	$877.02	$1,315.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $626.44 / $783.05 / $1,127.59	Professional		$626.44	$783.05	$1,127.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.76 / $995.72 / $1,573.78	Professional		$709.76	$995.72	$1,573.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.30 / $838.55 / $1,445.07	Professional		$635.30	$838.55	$1,445.07