Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.94 / $1,032.34 / $4,846.00	Facility		$821.94	$1,032.34	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.94 / $877.75 / $1,158.94	Professional		$821.94	$877.75	$1,158.94
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 $916.96 / $1,146.20 / $1,581.75	Professional		$916.96	$1,146.20	$1,581.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.67 / $1,043.41 / $1,203.93	Facility		$818.67	$1,043.41	$1,203.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $802.62 / $963.14 / $1,203.93	Professional		$802.62	$963.14	$1,203.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.57 / $1,157.35 / $1,959.21	Professional		$825.57	$1,157.35	$1,959.21
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 $829.13 / $1,008.63 / $1,731.33	Professional		$829.13	$1,008.63	$1,731.33