Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.96 / $2,318.00 / $16,042.00	Facility		$788.96	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.11 / $794.11 / $1,068.52	Professional		$709.11	$794.11	$1,068.52
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 $728.94 / $1,148.59 / $1,550.61	Professional		$728.94	$1,148.59	$1,550.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $785.43 / $1,078.04 / $1,617.06	Facility		$785.43	$1,078.04	$1,617.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $770.03 / $962.54 / $1,386.06	Professional		$770.03	$962.54	$1,386.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,681.31 / $6,681.31 / $7,920.04	Facility		$6,681.31	$6,681.31	$7,920.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.35 / $1,069.35 / $1,771.07	Professional		$844.35	$1,069.35	$1,771.07
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 $679.88 / $924.04 / $1,632.42	Professional		$679.88	$924.04	$1,632.42