Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.96 / $1,095.09 / $4,846.00	Facility		$876.96	$1,095.09	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.96 / $964.06 / $1,236.51	Professional		$876.96	$964.06	$1,236.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.68 / $1,154.20 / $1,592.79	Professional		$857.68	$1,154.20	$1,592.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $911.19 / $1,286.39 / $1,929.59	Facility		$911.19	$1,286.39	$1,929.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $900.47 / $1,114.86 / $1,543.67	Professional		$900.47	$1,114.86	$1,543.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.89 / $1,143.46 / $1,972.47	Professional		$836.89	$1,143.46	$1,972.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,660.00 / $11,929.00	Facility		$1,403.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.28 / $1,065.02 / $1,853.95	Professional		$796.28	$1,065.02	$1,853.95