Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.34 / $1,386.00 / $4,846.00	Facility		$761.34	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.33 / $761.34 / $944.58	Professional		$730.33	$761.34	$944.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $12,775.00 / $30,091.00	Facility		$1,935.00	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.31 / $1,091.80 / $1,506.68	Professional		$801.31	$1,091.80	$1,506.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.04 / $1,056.06 / $1,584.09	Facility		$748.04	$1,056.06	$1,584.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $718.12 / $880.05 / $1,267.28	Professional		$718.12	$880.05	$1,267.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.97 / $1,044.56 / $1,672.05	Professional		$776.97	$1,044.56	$1,672.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.80 / $892.90 / $1,527.31	Professional		$746.80	$892.90	$1,527.31