Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.59 / $2,417.32 / $11,093.00	Facility		$940.59	$2,417.32	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.87 / $947.41 / $1,297.96	Professional		$845.87	$947.41	$1,297.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.36 / $1,294.00 / $1,785.72	Professional		$892.36	$1,294.00	$1,785.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.81 / $1,284.44 / $1,926.66	Facility		$935.81	$1,284.44	$1,926.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $917.46 / $1,146.83 / $1,651.43	Professional		$917.46	$1,146.83	$1,651.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.43 / $1,386.92 / $2,110.16	Professional		$1,019.43	$1,386.92	$2,110.16
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 $818.70 / $1,102.86 / $1,987.22	Professional		$818.70	$1,102.86	$1,987.22