Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.27 / $4,238.71 / $16,042.00	Facility		$905.27	$4,238.71	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.84 / $908.56 / $1,276.00	Professional		$797.84	$908.56	$1,276.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,641.00 / $10,700.00 / $17,513.00	Facility		$3,641.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.72 / $1,008.40 / $1,391.59	Professional		$806.72	$1,008.40	$1,391.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $835.35 / $1,085.96 / $1,253.03	Facility		$835.35	$1,085.96	$1,253.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $835.35 / $975.17 / $1,253.03	Professional		$835.35	$975.17	$1,253.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.00 / $1,043.05 / $3,909.74	Facility		$865.00	$1,043.05	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.95 / $1,126.97 / $1,870.49	Professional		$831.95	$1,126.97	$1,870.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.09 / $1,002.42 / $1,659.84	Professional		$814.09	$1,002.42	$1,659.84