Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,344.23 / $4,897.79	Facility		$794.33	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,380.38	Professional		$691.83	$776.25	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $19,054.61 / $26,302.68	Facility		$9,549.93	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,513.56	Professional		$630.96	$954.99	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $707.95 / $812.83	Facility		$676.08	$707.95	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,584.89	Professional		$691.83	$891.25	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,380.38	Professional		$645.65	$831.76	$1,380.38