Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.29 / $1,628.00 / $17,225.00	Facility		$753.29	$1,628.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.29 / $801.17 / $1,062.14	Professional		$753.29	$801.17	$1,062.14
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 $814.17 / $1,108.70 / $1,530.00	Professional		$814.17	$1,108.70	$1,530.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $746.06 / $950.86 / $1,097.15	Facility		$746.06	$950.86	$1,097.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.43 / $841.14 / $1,097.15	Professional		$731.43	$841.14	$1,097.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.42 / $1,028.32 / $1,737.11	Professional		$765.42	$1,028.32	$1,737.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.79 / $931.43 / $1,521.84	Professional		$755.79	$931.43	$1,521.84