Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.97 / $1,503.66 / $16,042.00	Facility		$961.97	$1,503.66	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.93 / $987.57 / $1,345.67	Professional		$890.93	$987.57	$1,345.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,389.00 / $10,288.00 / $26,304.00	Facility		$1,389.00	$10,288.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.15 / $922.69 / $1,273.31	Professional		$738.15	$922.69	$1,273.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.74 / $1,156.66 / $1,334.61	Facility		$889.74	$1,156.66	$1,334.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.74 / $1,021.23 / $1,334.61	Professional		$889.74	$1,021.23	$1,334.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.00 / $1,110.75 / $3,909.74	Facility		$865.00	$1,110.75	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.89 / $1,145.05 / $1,977.80	Professional		$742.89	$1,145.05	$1,977.80
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 $839.55 / $1,049.75 / $1,779.12	Professional		$839.55	$1,049.75	$1,779.12