Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.73 / $1,235.63 / $4,846.00	Facility		$996.73	$1,235.63	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.73 / $1,040.83 / $1,343.01	Professional		$996.73	$1,040.83	$1,343.01
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 $1,031.59 / $1,458.10 / $2,012.17	Professional		$1,031.59	$1,458.10	$2,012.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $861.00 / $1,134.49 / $1,823.30	Facility		$861.00	$1,134.49	$1,823.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $850.87 / $1,053.46 / $1,458.63	Professional		$850.87	$1,053.46	$1,458.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.32 / $1,404.32 / $2,663.04	Professional		$923.32	$1,404.32	$2,663.04
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 $877.44 / $1,181.28 / $1,799.11	Professional		$877.44	$1,181.28	$1,799.11