Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.20 / $997.43 / $4,846.00	Facility		$958.20	$997.43	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.52 / $997.43 / $1,287.01	Professional		$856.52	$997.43	$1,287.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.60 / $1,213.80 / $1,675.04	Professional		$926.60	$1,213.80	$1,675.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.60 / $1,012.73 / $1,168.53	Facility		$794.60	$1,012.73	$1,168.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.60 / $893.93 / $1,168.53	Professional		$794.60	$893.93	$1,168.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.82 / $1,256.46 / $2,357.42	Professional		$884.82	$1,256.46	$2,357.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,735.00 / $10,926.00	Facility		$1,987.00	$5,735.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.32 / $1,066.63 / $1,694.35	Professional		$833.32	$1,066.63	$1,694.35