Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.74 / $945.01 / $4,846.00	Facility		$873.74	$945.01	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.38 / $918.60 / $1,185.29	Professional		$799.38	$918.60	$1,185.29
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 $922.07 / $1,363.88 / $1,841.23	Professional		$922.07	$1,363.88	$1,841.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.57 / $923.47 / $1,065.54	Facility		$724.57	$923.47	$1,065.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $745.88 / $816.91 / $1,065.54	Professional		$745.88	$816.91	$1,065.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.31 / $1,342.32 / $3,126.38	Professional		$812.31	$1,342.32	$3,126.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $5,660.00 / $11,929.00	Facility		$1,917.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.29 / $1,269.58 / $2,210.77	Professional		$812.29	$1,269.58	$2,210.77