Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.00 / $2,318.00 / $16,042.00	Facility		$913.00	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.96 / $913.00 / $1,130.38	Professional		$810.96	$913.00	$1,130.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,700.00 / $17,513.00	Facility		$3,719.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.28 / $736.80 / $1,046.25	Professional		$626.28	$736.80	$1,046.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $856.29 / $1,091.34 / $1,259.25	Facility		$856.29	$1,091.34	$1,259.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $1,007.40 / $1,259.25	Professional		$839.50	$1,007.40	$1,259.25
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 $719.95 / $1,034.51 / $1,879.60	Professional		$719.95	$1,034.51	$1,879.60
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 $826.05 / $990.48 / $1,528.19	Professional		$826.05	$990.48	$1,528.19