Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.82 / $2,318.00 / $14,063.00	Facility		$928.82	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $971.40 / $1,319.19	Professional		$874.00	$971.40	$1,319.19
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 $933.03 / $1,464.70 / $2,021.28	Professional		$933.03	$1,464.70	$2,021.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $899.88 / $1,169.83 / $1,349.82	Facility		$899.88	$1,169.83	$1,349.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $899.88 / $1,079.85 / $1,349.82	Professional		$899.88	$1,079.85	$1,349.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.70 / $1,348.75 / $2,267.94	Professional		$1,021.70	$1,348.75	$2,267.94
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 $867.88 / $1,127.08 / $1,994.13	Professional		$867.88	$1,127.08	$1,994.13