Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.72 / $1,978.18 / $16,042.00	Facility		$769.72	$1,978.18	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.48 / $775.70 / $1,055.40	Professional		$692.48	$775.70	$1,055.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $20,184.00 / $30,193.55	Facility		$4,800.00	$20,184.00	$30,193.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.93 / $1,129.40 / $1,524.69	Professional		$701.93	$1,129.40	$1,524.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.52 / $1,052.08 / $1,578.14	Facility		$766.52	$1,052.08	$1,578.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $751.49 / $939.36 / $1,352.69	Professional		$751.49	$939.36	$1,352.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.59 / $1,067.39 / $1,720.14	Professional		$814.59	$1,067.39	$1,720.14
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 $668.30 / $900.17 / $1,621.34	Professional		$668.30	$900.17	$1,621.34