Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $866.09 / $4,846.00	Facility		$687.90	$866.09	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.90 / $736.52 / $969.94	Professional		$687.90	$736.52	$969.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,580.56 / $24,062.10	Facility		$5,091.00	$15,580.56	$24,062.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.97 / $944.60 / $1,303.54	Professional		$722.97	$944.60	$1,303.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.58 / $965.04 / $1,447.56	Facility		$683.58	$965.04	$1,447.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.53 / $836.37 / $1,158.05	Professional		$675.53	$836.37	$1,158.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.04 / $907.50 / $1,527.93	Professional		$663.04	$907.50	$1,527.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.33 / $822.57 / $1,396.01	Professional		$671.33	$822.57	$1,396.01