Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.62 / $3,500.00 / $16,042.00	Facility		$961.62	$3,500.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.15 / $1,002.68 / $1,394.68	Professional		$864.15	$1,002.68	$1,394.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,322.00 / $12,191.00 / $30,900.00	Facility		$4,322.00	$12,191.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.56 / $1,265.40 / $1,746.25	Professional		$886.56	$1,265.40	$1,746.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $996.49 / $1,313.02 / $1,969.53	Facility		$996.49	$1,313.02	$1,969.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.87 / $1,125.44 / $1,688.16	Professional		$937.87	$1,125.44	$1,688.16
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 $982.96 / $1,263.41 / $2,095.75	Professional		$982.96	$1,263.41	$2,095.75
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 $840.68 / $1,118.69 / $2,025.56	Professional		$840.68	$1,118.69	$2,025.56