Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.42 / $818.82 / $4,846.00	Facility		$737.42	$818.82	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.18 / $770.52 / $1,039.40	Professional		$711.18	$770.52	$1,039.40
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 $711.07 / $950.70 / $1,283.44	Professional		$711.07	$950.70	$1,283.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.35 / $887.06 / $1,023.53	Facility		$682.35	$887.06	$1,023.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.35 / $818.82 / $1,023.53	Professional		$682.35	$818.82	$1,023.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $876.60	Facility		$761.00	$761.00	$876.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.98 / $936.08 / $1,507.21	Professional		$742.98	$936.08	$1,507.21
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 $670.38 / $817.12 / $1,364.54	Professional		$670.38	$817.12	$1,364.54