Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.30 / $4,580.00 / $17,225.00	Facility		$982.30	$4,580.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $982.30 / $1,228.56	Professional		$863.37	$982.30	$1,228.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.72 / $1,075.90 / $1,449.45	Professional		$860.72	$1,075.90	$1,449.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $813.34 / $1,184.69 / $1,275.82	Facility		$813.34	$1,184.69	$1,275.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $911.30 / $1,093.56 / $1,294.40	Professional		$911.30	$1,093.56	$1,294.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.11 / $1,136.70 / $1,717.38	Professional		$848.11	$1,136.70	$1,717.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.61 / $1,006.99 / $1,914.57	Professional		$774.61	$1,006.99	$1,914.57