Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.47 / $2,318.00 / $14,063.00	Facility		$993.47	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.66 / $1,041.48 / $1,359.67	Professional		$895.66	$1,041.48	$1,359.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $33,765.49 / $49,433.26	Facility		$4,800.00	$33,765.49	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.80 / $1,369.90 / $1,890.46	Professional		$916.80	$1,369.90	$1,890.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $987.07 / $1,354.81 / $2,032.22	Facility		$987.07	$1,354.81	$2,032.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $967.72 / $1,209.65 / $1,741.89	Professional		$967.72	$1,209.65	$1,741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.93 / $1,363.96 / $2,225.76	Professional		$1,053.93	$1,363.96	$2,225.76
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 $867.47 / $1,175.56 / $2,092.65	Professional		$867.47	$1,175.56	$2,092.65