Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,344.23 / $4,897.79	Facility		$436.52	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $1,258.93	Professional		$407.38	$467.74	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $25,703.96 / $35,481.34	Facility		$10,232.93	$25,703.96	$35,481.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $794.33	Professional		$389.05	$489.78	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $416.87 / $446.68	Facility		$380.19	$416.87	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $933.25	Professional		$407.38	$549.54	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $831.76	Professional		$380.19	$489.78	$831.76