Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.67 / $1,108.42 / $4,846.00	Facility		$880.67	$1,108.42	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.67 / $941.01 / $1,241.74	Professional		$880.67	$941.01	$1,241.74
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 $991.68 / $1,239.59 / $1,710.64	Professional		$991.68	$1,239.59	$1,710.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $913.66 / $1,289.88 / $1,934.82	Facility		$913.66	$1,289.88	$1,934.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $902.92 / $1,117.90 / $1,547.85	Professional		$902.92	$1,117.90	$1,547.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.84 / $1,920.73 / $4,427.99	Professional		$1,280.84	$1,920.73	$4,427.99
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 $871.82 / $1,118.72 / $1,823.13	Professional		$871.82	$1,118.72	$1,823.13