Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.45 / $1,386.00 / $11,093.00	Facility		$862.45	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.45 / $921.15 / $1,216.06	Professional		$862.45	$921.15	$1,216.06
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 $922.64 / $1,153.30 / $1,593.69	Professional		$922.64	$1,153.30	$1,593.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.66 / $1,263.05 / $1,894.58	Facility		$894.66	$1,263.05	$1,894.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $884.13 / $1,094.64 / $1,515.66	Professional		$884.13	$1,094.64	$1,515.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.17 / $1,186.64 / $1,999.77	Professional		$876.17	$1,186.64	$1,999.77
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 $884.01 / $1,061.58 / $1,817.96	Professional		$884.01	$1,061.58	$1,817.96