Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.66 / $915.48 / $4,846.00	Facility		$718.66	$915.48	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.66 / $767.22 / $1,013.31	Professional		$718.66	$767.22	$1,013.31
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 $805.14 / $1,020.10 / $1,407.73	Professional		$805.14	$1,020.10	$1,407.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.71 / $912.18 / $1,052.52	Facility		$715.71	$912.18	$1,052.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $701.68 / $842.02 / $1,052.52	Professional		$701.68	$842.02	$1,052.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $1,010.19 / $1,666.46	Professional		$723.24	$1,010.19	$1,666.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.45 / $882.89 / $1,484.85	Professional		$746.45	$882.89	$1,484.85