Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.03 / $1,386.00 / $11,093.00	Facility		$974.03	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.30 / $974.03 / $1,129.02	Professional		$817.30	$974.03	$1,129.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.07 / $1,098.40 / $1,479.76	Professional		$848.07	$1,098.40	$1,479.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $806.12 / $1,174.19 / $1,264.51	Facility		$806.12	$1,174.19	$1,264.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $903.22 / $1,083.85 / $1,282.81	Professional		$903.22	$1,083.85	$1,282.81
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 $794.47 / $1,107.45 / $1,652.81	Professional		$794.47	$1,107.45	$1,652.81
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 $767.74 / $987.38 / $1,768.62	Professional		$767.74	$987.38	$1,768.62