Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.79 / $1,386.00 / $4,846.00	Facility		$862.79	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.79 / $921.85 / $1,216.54	Professional		$862.79	$921.85	$1,216.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,044.01 / $15,154.00	Facility		$4,800.00	$11,044.01	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.14 / $1,271.00 / $1,753.98	Professional		$978.14	$1,271.00	$1,753.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $1,263.53 / $1,895.30	Facility		$895.00	$1,263.53	$1,895.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $884.47 / $1,095.06 / $1,516.23	Professional		$884.47	$1,095.06	$1,516.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.80 / $1,227.21 / $2,000.54	Professional		$876.80	$1,227.21	$2,000.54
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 $886.52 / $1,081.52 / $1,817.38	Professional		$886.52	$1,081.52	$1,817.38