Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.44 / $1,386.00 / $4,846.00	Facility		$862.44	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.57 / $862.44 / $998.15	Professional		$774.57	$862.44	$998.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,085.00 / $18,927.70 / $28,794.00	Facility		$6,085.00	$18,927.70	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.83 / $1,331.50 / $1,837.47	Professional		$904.83	$1,331.50	$1,837.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $773.65 / $986.02 / $1,137.72	Facility		$773.65	$986.02	$1,137.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.48 / $910.18 / $1,137.72	Professional		$758.48	$910.18	$1,137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.11 / $1,155.95 / $2,113.17	Professional		$862.11	$1,155.95	$2,113.17
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 $807.79 / $1,000.80 / $1,510.27	Professional		$807.79	$1,000.80	$1,510.27