Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.71 / $2,318.00 / $16,042.00	Facility		$779.71	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $779.71 / $1,052.59	Professional		$679.20	$779.71	$1,052.59
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 $650.69 / $910.80 / $1,256.90	Professional		$650.69	$910.80	$1,256.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $762.78 / $1,046.95 / $1,570.43	Facility		$762.78	$1,046.95	$1,570.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $747.82 / $934.78 / $1,346.07	Professional		$747.82	$934.78	$1,346.07
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 $773.21 / $1,030.16 / $1,698.46	Professional		$773.21	$1,030.16	$1,698.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.82 / $873.84 / $1,566.40	Professional		$640.82	$873.84	$1,566.40