Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.55 / $828.68 / $4,846.00	Facility		$735.55	$828.68	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.57 / $767.73 / $990.62	Professional		$690.57	$767.73	$990.62
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 $664.48 / $830.60 / $1,146.22	Professional		$664.48	$830.60	$1,146.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $635.39 / $837.21 / $1,345.53	Facility		$635.39	$837.21	$1,345.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $777.41 / $1,076.42	Professional		$627.91	$777.41	$1,076.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.05 / $976.90 / $1,942.08	Professional		$681.05	$976.90	$1,942.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.89 / $897.02 / $1,389.51	Professional		$696.89	$897.02	$1,389.51