Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.14 / $2,472.00 / $17,225.00	Facility		$903.14	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.50 / $911.52 / $1,248.21	Professional		$813.50	$911.52	$1,248.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,010.00 / $14,096.00 / $30,900.00	Facility		$5,010.00	$14,096.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.81 / $1,275.20 / $1,759.77	Professional		$834.81	$1,275.20	$1,759.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.59 / $1,231.99 / $1,847.99	Facility		$897.59	$1,231.99	$1,847.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.99 / $1,055.99 / $1,583.99	Professional		$879.99	$1,055.99	$1,583.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.00 / $1,248.44 / $2,023.99	Professional		$943.00	$1,248.44	$2,023.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.13 / $1,052.55 / $1,853.97	Professional		$781.13	$1,052.55	$1,853.97