Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.57 / $1,386.00 / $4,846.00	Facility		$378.57	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.51 / $378.57 / $450.00	Professional		$281.51	$378.57	$450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $12,775.00 / $30,091.00	Facility		$1,935.00	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.90 / $1,569.30 / $2,165.63	Professional		$1,333.90	$1,569.30	$2,165.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.64 / $673.31 / $1,144.63	Facility		$266.64	$673.31	$1,144.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.49 / $313.70 / $706.98	Professional		$274.49	$313.70	$706.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.80 / $422.91 / $1,760.76	Professional		$309.80	$422.91	$1,760.76
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 $265.67 / $470.52 / $1,361.80	Professional		$265.67	$470.52	$1,361.80