Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.92 / $2,441.29 / $16,042.00	Facility		$949.92	$2,441.29	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.21 / $988.07 / $1,282.40	Professional		$839.21	$988.07	$1,282.40
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 $795.91 / $1,056.20 / $1,457.55	Professional		$795.91	$1,056.20	$1,457.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.04 / $1,295.74 / $1,943.61	Facility		$944.04	$1,295.74	$1,943.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $925.53 / $1,156.91 / $1,665.96	Professional		$925.53	$1,156.91	$1,665.96
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 $958.64 / $1,213.61 / $2,022.99	Professional		$958.64	$1,213.61	$2,022.99
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 $785.94 / $1,046.03 / $1,875.24	Professional		$785.94	$1,046.03	$1,875.24