Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.72 / $1,245.82 / $4,846.00	Facility		$906.72	$1,245.82	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.47 / $943.75 / $1,217.74	Professional		$808.47	$943.75	$1,217.74
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 $879.46 / $1,262.50 / $1,742.25	Professional		$879.46	$1,262.50	$1,742.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.91 / $958.32 / $1,105.76	Facility		$751.91	$958.32	$1,105.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.03 / $847.75 / $1,105.76	Professional		$774.03	$847.75	$1,105.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.20 / $1,260.00 / $2,480.17	Professional		$837.20	$1,260.00	$2,480.17
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 $784.79 / $973.14 / $1,592.92	Professional		$784.79	$973.14	$1,592.92