Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.45 / $2,318.00 / $16,042.00	Facility		$963.45	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.92 / $972.48 / $1,307.34	Professional		$867.92	$972.48	$1,307.34
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 $854.47 / $1,252.70 / $1,728.72	Professional		$854.47	$1,252.70	$1,728.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.90 / $1,314.77 / $1,972.16	Facility		$957.90	$1,314.77	$1,972.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $939.12 / $1,173.90 / $1,690.41	Professional		$939.12	$1,173.90	$1,690.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.92 / $1,316.38 / $2,158.10	Professional		$987.92	$1,316.38	$2,158.10
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 $833.58 / $1,126.94 / $1,953.33	Professional		$833.58	$1,126.94	$1,953.33