Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.03 / $1,039.36 / $4,846.00	Facility		$828.03	$1,039.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.03 / $883.46 / $1,167.53	Professional		$828.03	$883.46	$1,167.53
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 $916.57 / $1,180.50 / $1,629.09	Professional		$916.57	$1,180.50	$1,629.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $888.64 / $1,211.78 / $1,817.67	Facility		$888.64	$1,211.78	$1,817.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $824.01 / $1,009.81 / $1,454.13	Professional		$824.01	$1,009.81	$1,454.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.53 / $1,147.97 / $1,918.60	Professional		$831.53	$1,147.97	$1,918.60
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 $848.51 / $1,028.68 / $1,710.33	Professional		$848.51	$1,028.68	$1,710.33