Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.00 / $2,318.00 / $14,063.00	Facility		$898.00	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.47 / $905.73 / $1,219.00	Professional		$808.47	$905.73	$1,219.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $9,219.00 / $32,252.00	Facility		$4,146.00	$9,219.00	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.68 / $1,292.09 / $1,751.08	Professional		$822.68	$1,292.09	$1,751.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $893.05 / $1,225.76 / $1,838.64	Facility		$893.05	$1,225.76	$1,838.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $875.54 / $1,050.65 / $1,575.98	Professional		$875.54	$1,050.65	$1,575.98
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 $951.26 / $1,226.83 / $2,005.04	Professional		$951.26	$1,226.83	$2,005.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,069.00 / $15,750.00	Facility		$4,472.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.43 / $1,042.03 / $1,864.76	Professional		$784.43	$1,042.03	$1,864.76