Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.46 / $2,201.10 / $16,042.00	Facility		$856.46	$2,201.10	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.61 / $863.27 / $1,161.08	Professional		$770.61	$863.27	$1,161.08
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 $761.31 / $1,087.09 / $1,500.19	Professional		$761.31	$1,087.09	$1,500.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.27 / $1,169.78 / $1,754.67	Facility		$852.27	$1,169.78	$1,754.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $835.56 / $1,044.45 / $1,504.01	Professional		$835.56	$1,044.45	$1,504.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $1,136.19 / $1,921.80	Professional		$885.00	$1,136.19	$1,921.80
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 $746.45 / $1,004.39 / $1,824.22	Professional		$746.45	$1,004.39	$1,824.22