Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.77 / $953.80 / $4,846.00	Facility		$887.77	$953.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.84 / $924.58 / $1,193.01	Professional		$805.84	$924.58	$1,193.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $10,577.42 / $18,643.75	Facility		$5,091.00	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.19 / $1,215.20 / $1,676.97	Professional		$936.19	$1,215.20	$1,676.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.88 / $1,010.46 / $1,622.36	Facility		$766.88	$1,010.46	$1,622.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $757.85 / $938.29 / $1,299.17	Professional		$757.85	$938.29	$1,299.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.95 / $1,256.74 / $2,964.00	Professional		$820.95	$1,256.74	$2,964.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,660.00 / $11,929.00	Facility		$1,403.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.36 / $1,070.38 / $1,620.24	Professional		$800.36	$1,070.38	$1,620.24