Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.30 / $2,318.00 / $14,063.00	Facility		$909.30	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $918.78 / $1,233.83	Professional		$836.74	$918.78	$1,233.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $24,714.00 / $35,662.00	Facility		$2,705.10	$24,714.00	$35,662.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.61 / $1,305.83 / $1,785.37	Professional		$815.61	$1,305.83	$1,785.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.64 / $1,242.07 / $1,863.11	Facility		$942.64	$1,242.07	$1,863.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $887.19 / $1,108.99 / $1,596.95	Professional		$887.19	$1,108.99	$1,596.95
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 $868.91 / $1,129.04 / $1,838.61	Professional		$868.91	$1,129.04	$1,838.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.68 / $1,048.58 / $1,891.48	Professional		$793.68	$1,048.58	$1,891.48