Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.52 / $2,432.56 / $11,093.00	Facility		$946.52	$2,432.56	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.95 / $963.29 / $1,326.35	Professional		$857.95	$963.29	$1,326.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.04 / $1,179.09 / $1,627.15	Professional		$764.04	$1,179.09	$1,627.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.32 / $1,271.42 / $1,907.13	Facility		$926.32	$1,271.42	$1,907.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $908.16 / $1,135.20 / $1,634.69	Professional		$908.16	$1,135.20	$1,634.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.68 / $1,284.11 / $2,018.00	Professional		$962.68	$1,284.11	$2,018.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.79 / $1,070.06 / $1,940.75	Professional		$823.79	$1,070.06	$1,940.75