Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.44 / $1,386.00 / $4,846.00	Facility		$682.44	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.12 / $682.44 / $921.29	Professional		$609.12	$682.44	$921.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.32 / $821.70 / $1,133.94	Professional		$577.32	$821.70	$1,133.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.86 / $927.65 / $1,391.48	Facility		$675.86	$927.65	$1,391.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $662.61 / $828.26 / $1,192.70	Professional		$662.61	$828.26	$1,192.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.68 / $915.55 / $1,416.47	Professional		$691.68	$915.55	$1,416.47
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 $559.16 / $755.73 / $1,374.70	Professional		$559.16	$755.73	$1,374.70