Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.07 / $1,078.49 / $4,846.00	Facility		$973.07	$1,078.49	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.57 / $1,015.50 / $1,371.57	Professional		$937.57	$1,015.50	$1,371.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.52 / $901.90 / $1,244.61	Professional		$721.52	$901.90	$1,244.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.74 / $1,168.35 / $1,348.11	Facility		$898.74	$1,168.35	$1,348.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $898.74 / $1,078.49 / $1,348.11	Professional		$898.74	$1,078.49	$1,348.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,159.75	Facility		$761.00	$761.00	$1,159.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.47 / $1,188.00 / $2,030.72	Professional		$885.47	$1,188.00	$2,030.72
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.75 / $1,121.33 / $2,175.88	Professional		$878.75	$1,121.33	$2,175.88