Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.12 / $1,386.00 / $7,212.00	Facility		$946.12	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.12 / $1,021.84 / $1,286.88	Professional		$946.12	$1,021.84	$1,286.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.48 / $1,155.59 / $1,640.95	Professional		$924.48	$1,155.59	$1,640.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.13 / $1,200.76 / $1,385.49	Facility		$942.13	$1,200.76	$1,385.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $923.66 / $1,108.39 / $1,385.49	Professional		$923.66	$1,108.39	$1,385.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.69 / $1,273.44 / $2,091.81	Professional		$951.69	$1,273.44	$2,091.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.74 / $1,196.36 / $1,952.68	Professional		$927.74	$1,196.36	$1,952.68