Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.84 / $1,191.03 / $4,846.00	Facility		$866.84	$1,191.03	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.75 / $902.34 / $1,164.31	Professional		$779.75	$902.34	$1,164.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $26,904.00 / $50,875.00	Facility		$1,646.00	$26,904.00	$50,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.22 / $1,598.29 / $2,157.69	Professional		$775.22	$1,598.29	$2,157.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.85 / $916.18 / $1,057.13	Facility		$718.85	$916.18	$1,057.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $739.99 / $845.70 / $1,057.13	Professional		$739.99	$845.70	$1,057.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.48 / $1,034.23 / $2,109.73	Professional		$779.48	$1,034.23	$2,109.73
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 $755.59 / $936.93 / $1,519.08	Professional		$755.59	$936.93	$1,519.08