Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.62 / $2,220.90 / $14,063.00	Facility		$822.62	$2,220.90	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.51 / $822.62 / $1,018.48	Professional		$738.51	$822.62	$1,018.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $8,512.00 / $16,307.00	Facility		$3,719.00	$8,512.00	$16,307.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.52 / $894.40 / $1,234.27	Professional		$715.52	$894.40	$1,234.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $792.20 / $1,118.40 / $1,677.60	Facility		$792.20	$1,118.40	$1,677.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $782.88 / $969.28 / $1,342.08	Professional		$782.88	$969.28	$1,342.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.55 / $965.25 / $1,770.76	Professional		$705.55	$965.25	$1,770.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.64 / $906.72 / $2,145.90	Professional		$704.64	$906.72	$2,145.90