Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.65 / $2,085.94 / $16,042.00	Facility		$811.65	$2,085.94	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.98 / $822.05 / $1,124.77	Professional		$735.98	$822.05	$1,124.77
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 $788.64 / $1,368.50 / $1,847.47	Professional		$788.64	$1,368.50	$1,847.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $804.41 / $1,104.09 / $1,656.15	Facility		$804.41	$1,104.09	$1,656.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $788.64 / $985.80 / $1,419.56	Professional		$788.64	$985.80	$1,419.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.81 / $1,246.40 / $1,880.10	Professional		$892.81	$1,246.40	$1,880.10
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 $732.76 / $1,000.24 / $1,743.63	Professional		$732.76	$1,000.24	$1,743.63