Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.06 / $1,707.17 / $28,204.10	Facility		$882.06	$1,707.17	$28,204.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.26 / $3,878.77 / $77,321.60	Professional		$1,107.26	$3,878.77	$77,321.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $40,050.00 / $56,650.00	Facility		$3,650.00	$40,050.00	$56,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.84 / $7,325.61 / $25,370.11	Professional		$978.84	$7,325.61	$25,370.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.24 / $982.43 / $14,076.05	Facility		$682.24	$982.43	$14,076.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,255.86 / $12,697.74 / $17,581.49	Professional		$10,255.86	$12,697.74	$17,581.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $3,404.45 / $54,372.08	Professional		$1,114.53	$3,404.45	$54,372.08
United Facility/Professional Professional Modifier Low / Median / High Price $12,594.03 / $16,327.63 / $25,852.33	Professional		$12,594.03	$16,327.63	$25,852.33