Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $918.31 / $4,846.00	Facility		$833.45	$918.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.12 / $843.21 / $1,174.76	Professional		$802.12	$843.21	$1,174.76
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 $649.84 / $812.30 / $1,120.97	Professional		$649.84	$812.30	$1,120.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.26 / $994.84 / $1,147.89	Facility		$765.26	$994.84	$1,147.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.26 / $880.05 / $1,147.89	Professional		$765.26	$880.05	$1,147.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $948.57 / $3,909.74	Facility		$761.00	$948.57	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.50 / $1,059.04 / $1,817.47	Professional		$677.50	$1,059.04	$1,817.47
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 $736.05 / $950.18 / $1,629.41	Professional		$736.05	$950.18	$1,629.41