Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.75 / $2,318.00 / $14,063.00	Facility		$775.75	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.71 / $780.05 / $1,049.77	Professional		$696.71	$780.05	$1,049.77
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 $684.52 / $1,048.70 / $1,447.20	Professional		$684.52	$1,048.70	$1,447.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $1,060.98 / $1,591.47	Facility		$805.20	$1,060.98	$1,591.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $757.84 / $909.41 / $1,364.12	Professional		$757.84	$909.41	$1,364.12
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 $821.86 / $1,051.73 / $1,688.07	Professional		$821.86	$1,051.73	$1,688.07
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 $667.51 / $903.10 / $1,634.04	Professional		$667.51	$903.10	$1,634.04