Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.66 / $1,386.00 / $4,846.00	Facility		$933.66	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.32 / $933.66 / $1,075.46	Professional		$835.32	$933.66	$1,075.46
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 $905.79 / $1,256.50 / $1,733.97	Professional		$905.79	$1,256.50	$1,733.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $841.20 / $1,072.11 / $1,237.07	Facility		$841.20	$1,072.11	$1,237.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $824.71 / $989.65 / $1,237.07	Professional		$824.71	$989.65	$1,237.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.40 / $1,223.97 / $2,229.90	Professional		$885.40	$1,223.97	$2,229.90
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 $843.86 / $1,015.92 / $1,635.88	Professional		$843.86	$1,015.92	$1,635.88