Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.77 / $1,386.00 / $4,846.00	Facility		$666.77	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $666.77 / $900.14	Professional		$595.01	$666.77	$900.14
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 $565.55 / $818.40 / $1,129.39	Professional		$565.55	$818.40	$1,129.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $659.88 / $905.72 / $1,358.58	Facility		$659.88	$905.72	$1,358.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $646.94 / $808.68 / $1,164.50	Professional		$646.94	$808.68	$1,164.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.53 / $890.96 / $1,387.82	Professional		$677.53	$890.96	$1,387.82
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 $545.98 / $725.04 / $1,300.18	Professional		$545.98	$725.04	$1,300.18