Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.25 / $1,386.00 / $4,846.00	Facility		$894.25	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.32 / $903.50 / $1,215.64	Professional		$809.32	$903.50	$1,215.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $48,259.71 / $70,653.03	Facility		$4,800.00	$48,259.71	$70,653.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.28 / $1,259.70 / $1,738.38	Professional		$788.28	$1,259.70	$1,738.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.49 / $1,220.79 / $1,831.19	Facility		$926.49	$1,220.79	$1,831.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $871.99 / $1,089.99 / $1,569.59	Professional		$871.99	$1,089.99	$1,569.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.81 / $1,216.92 / $1,966.31	Professional		$949.81	$1,216.92	$1,966.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,161.00 / $13,735.00 / $19,477.00	Facility		$6,161.00	$13,735.00	$19,477.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.48 / $1,037.10 / $1,862.77	Professional		$778.48	$1,037.10	$1,862.77