Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.31 / $1,084.18 / $4,846.00	Facility		$862.31	$1,084.18	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.31 / $917.71 / $1,215.85	Professional		$862.31	$917.71	$1,215.85
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 $958.74 / $1,307.09 / $1,803.79	Professional		$958.74	$1,307.09	$1,803.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $923.15 / $1,258.84 / $1,888.28	Facility		$923.15	$1,258.84	$1,888.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $881.19 / $1,091.00 / $1,510.62	Professional		$881.19	$1,091.00	$1,510.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.37 / $1,203.68 / $2,063.00	Professional		$866.37	$1,203.68	$2,063.00
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 $870.84 / $1,110.21 / $1,781.52	Professional		$870.84	$1,110.21	$1,781.52