Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.73 / $1,467.28 / $16,042.00	Facility		$892.73	$1,467.28	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $899.06 / $1,207.80	Professional		$837.00	$899.06	$1,207.80
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 $807.70 / $1,233.50 / $1,702.23	Professional		$807.70	$1,233.50	$1,702.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $922.47 / $1,215.49 / $1,823.24	Facility		$922.47	$1,215.49	$1,823.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.21 / $1,041.84 / $1,562.78	Professional		$868.21	$1,041.84	$1,562.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.02 / $1,207.68 / $1,947.48	Professional		$944.02	$1,207.68	$1,947.48
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 $764.89 / $1,034.84 / $1,836.05	Professional		$764.89	$1,034.84	$1,836.05