Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $999.94 / $4,846.00	Facility		$872.08	$999.94	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.28 / $916.24 / $1,182.24	Professional		$833.28	$916.24	$1,182.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.85 / $1,228.96 / $1,659.09	Professional		$741.85	$1,228.96	$1,659.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $723.19 / $921.71 / $1,063.52	Facility		$723.19	$921.71	$1,063.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.46 / $815.36 / $1,063.52	Professional		$744.46	$815.36	$1,063.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.79 / $1,209.28 / $1,824.16	Professional		$812.79	$1,209.28	$1,824.16
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 $807.87 / $1,066.52 / $1,716.21	Professional		$807.87	$1,066.52	$1,716.21