Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.90 / $2,318.00 / $14,063.00	Facility		$762.90	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.52 / $762.90 / $1,034.50	Professional		$686.52	$762.90	$1,034.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $9,219.00 / $30,900.00	Facility		$4,146.00	$9,219.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.23 / $987.20 / $1,362.33	Professional		$701.23	$987.20	$1,362.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.51 / $1,042.47 / $1,563.71	Facility		$759.51	$1,042.47	$1,563.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.62 / $893.54 / $1,340.31	Professional		$744.62	$893.54	$1,340.31
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 $788.80 / $1,034.65 / $1,668.50	Professional		$788.80	$1,034.65	$1,668.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,069.00 / $15,750.00	Facility		$4,472.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.18 / $891.83 / $1,558.28	Professional		$659.18	$891.83	$1,558.28