Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.73 / $1,163.40 / $4,846.00	Facility		$846.73	$1,163.40	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.54 / $880.45 / $1,136.07	Professional		$753.54	$880.45	$1,136.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $10,300.00 / $21,000.00	Facility		$1,614.00	$10,300.00	$21,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.69 / $1,037.90 / $1,432.30	Professional		$802.69	$1,037.90	$1,432.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $702.17 / $894.92 / $1,032.59	Facility		$702.17	$894.92	$1,032.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $722.82 / $826.08 / $1,032.59	Professional		$722.82	$826.08	$1,032.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.05 / $1,094.53 / $2,157.55	Professional		$781.05	$1,094.53	$2,157.55
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 $731.38 / $947.04 / $1,495.63	Professional		$731.38	$947.04	$1,495.63