Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.65 / $1,386.00 / $4,846.00	Facility		$863.65	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.55 / $872.49 / $1,165.93	Professional		$778.55	$872.49	$1,165.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $33,765.49 / $49,433.26	Facility		$4,800.00	$33,765.49	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.21 / $1,132.59 / $1,562.98	Professional		$682.21	$1,132.59	$1,562.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.81 / $1,179.05 / $1,768.58	Facility		$894.81	$1,179.05	$1,768.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $842.18 / $1,052.73 / $1,515.93	Professional		$842.18	$1,052.73	$1,515.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.99 / $1,099.90 / $1,815.17	Professional		$872.99	$1,099.90	$1,815.17
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 $738.68 / $971.89 / $1,631.98	Professional		$738.68	$971.89	$1,631.98