Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.98 / $944.57 / $4,846.00	Facility		$871.98	$944.57	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.74 / $916.94 / $1,183.14	Professional		$797.74	$916.94	$1,183.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.47 / $1,274.81 / $1,759.23	Professional		$790.47	$1,274.81	$1,759.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $723.11 / $921.61 / $1,063.40	Facility		$723.11	$921.61	$1,063.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $723.11 / $813.50 / $1,063.40	Professional		$723.11	$813.50	$1,063.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.72 / $1,119.58 / $2,952.56	Professional		$804.72	$1,119.58	$2,952.56
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 $781.57 / $1,011.44 / $1,597.31	Professional		$781.57	$1,011.44	$1,597.31