Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.21 / $994.18 / $4,846.00	Facility		$786.21	$994.18	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.21 / $839.37 / $1,108.56	Professional		$786.21	$839.37	$1,108.56
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 $876.88 / $1,112.00 / $1,534.56	Professional		$876.88	$1,112.00	$1,534.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.61 / $1,151.45 / $1,727.18	Facility		$815.61	$1,151.45	$1,727.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $806.01 / $997.92 / $1,381.74	Professional		$806.01	$997.92	$1,381.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.66 / $1,099.95 / $1,885.19	Professional		$790.66	$1,099.95	$1,885.19
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 $805.77 / $1,003.85 / $1,623.96	Professional		$805.77	$1,003.85	$1,623.96