Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.46 / $2,318.00 / $11,093.00	Facility		$851.46	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.37 / $858.62 / $1,176.01	Professional		$766.37	$858.62	$1,176.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $30,900.00	Facility		$3,473.00	$7,890.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.59 / $1,282.70 / $1,770.12	Professional		$830.59	$1,282.70	$1,770.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $847.20 / $1,162.83 / $1,744.25	Facility		$847.20	$1,162.83	$1,744.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $830.59 / $1,038.24 / $1,495.07	Professional		$830.59	$1,038.24	$1,495.07
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 $924.72 / $1,321.17 / $2,008.18	Professional		$924.72	$1,321.17	$2,008.18
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 $733.50 / $1,020.49 / $1,816.12	Professional		$733.50	$1,020.49	$1,816.12