Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.55 / $2,318.00 / $16,042.00	Facility		$965.55	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.60 / $979.47 / $1,339.67	Professional		$881.60	$979.47	$1,339.67
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 $937.93 / $1,576.80 / $2,128.67	Professional		$937.93	$1,576.80	$2,128.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $956.69 / $1,313.10 / $1,969.65	Facility		$956.69	$1,313.10	$1,969.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.93 / $1,125.52 / $1,688.28	Professional		$937.93	$1,125.52	$1,688.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.16 / $1,459.35 / $2,263.00	Professional		$1,058.16	$1,459.35	$2,263.00
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 $850.54 / $1,189.55 / $2,068.14	Professional		$850.54	$1,189.55	$2,068.14