Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.53 / $1,066.15 / $4,846.00	Facility		$966.53	$1,066.15	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.82 / $1,016.66 / $1,362.35	Professional		$923.82	$1,016.66	$1,362.35
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 $843.08 / $1,082.00 / $1,493.16	Professional		$843.08	$1,082.00	$1,493.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $888.46 / $1,155.00 / $1,332.69	Facility		$888.46	$1,155.00	$1,332.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $888.46 / $1,053.33 / $1,332.69	Professional		$888.46	$1,053.33	$1,332.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,129.03	Facility		$761.00	$761.00	$1,129.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.36 / $1,140.22 / $2,002.37	Professional		$901.36	$1,140.22	$2,002.37
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 $844.24 / $1,086.92 / $1,904.94	Professional		$844.24	$1,086.92	$1,904.94