Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $1,118.44 / $4,846.00	Facility		$892.50	$1,118.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.50 / $949.40 / $1,258.43	Professional		$892.50	$949.40	$1,258.43
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 $988.59 / $1,247.09 / $1,720.99	Professional		$988.59	$1,247.09	$1,720.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.01 / $1,290.38 / $1,935.57	Facility		$914.01	$1,290.38	$1,935.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $877.46 / $1,075.31 / $1,548.45	Professional		$877.46	$1,075.31	$1,548.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.42 / $1,241.08 / $1,978.57	Professional		$895.42	$1,241.08	$1,978.57
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 $913.32 / $1,091.96 / $1,839.21	Professional		$913.32	$1,091.96	$1,839.21