Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.42 / $3,500.00 / $16,043.33	Facility		$894.42	$3,500.00	$16,043.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.24 / $896.52 / $1,260.70	Professional		$860.24	$896.52	$1,260.70
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 $723.36 / $904.20 / $1,247.79	Professional		$723.36	$904.20	$1,247.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $821.48 / $1,067.92 / $1,232.22	Facility		$821.48	$1,067.92	$1,232.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $821.48 / $985.78 / $1,232.22	Professional		$821.48	$985.78	$1,232.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $1,018.50 / $3,909.74	Facility		$761.00	$1,018.50	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.35 / $1,115.24 / $1,911.20	Professional		$729.35	$1,115.24	$1,911.20
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 $775.80 / $1,003.62 / $1,610.02	Professional		$775.80	$1,003.62	$1,610.02