Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.90 / $1,152.47 / $4,846.00	Facility		$914.90	$1,152.47	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.90 / $977.69 / $1,290.00	Professional		$914.90	$977.69	$1,290.00
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 $1,041.81 / $1,309.00 / $1,806.42	Professional		$1,041.81	$1,309.00	$1,806.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $982.31 / $1,339.52 / $2,009.28	Facility		$982.31	$1,339.52	$2,009.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.66 / $1,160.91 / $1,607.42	Professional		$937.66	$1,160.91	$1,607.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.19 / $1,305.71 / $2,120.86	Professional		$919.19	$1,305.71	$2,120.86
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 $919.13 / $1,157.03 / $1,894.33	Professional		$919.13	$1,157.03	$1,894.33