Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.92 / $3,500.00 / $17,225.00	Facility		$988.92	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $988.92 / $1,628.00	Professional		$924.27	$988.92	$1,628.00
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 $925.40 / $1,474.10 / $1,990.03	Professional		$925.40	$1,474.10	$1,990.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.34 / $2,022.51	Facility		$1,023.29	$1,348.34	$2,022.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $963.10 / $1,203.88 / $1,733.58	Professional		$963.10	$1,203.88	$1,733.58
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 $1,068.27 / $1,353.41 / $2,215.60	Professional		$1,068.27	$1,353.41	$2,215.60
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 $859.58 / $1,162.96 / $2,053.42	Professional		$859.58	$1,162.96	$2,053.42