Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.34 / $878.04 / $4,846.00	Facility		$818.34	$878.04	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.46 / $859.49 / $1,109.02	Professional		$747.46	$859.49	$1,109.02
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 $752.94 / $1,075.58 / $1,452.04	Professional		$752.94	$1,075.58	$1,452.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $678.63 / $864.92 / $997.98	Facility		$678.63	$864.92	$997.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $698.59 / $798.38 / $997.98	Professional		$698.59	$798.38	$997.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.19 / $1,058.46 / $1,800.00	Professional		$748.19	$1,058.46	$1,800.00
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 $730.27 / $1,002.61 / $1,512.08	Professional		$730.27	$1,002.61	$1,512.08