Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.45 / $4,846.00 / $11,093.00	Facility		$947.45	$4,846.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.47 / $947.45 / $1,263.27	Professional		$928.47	$947.45	$1,263.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.64 / $1,243.30 / $1,763.33	Professional		$994.64	$1,243.30	$1,763.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.15 / $1,144.70 / $1,320.81	Facility		$898.15	$1,144.70	$1,320.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $880.54 / $1,056.65 / $1,320.81	Professional		$880.54	$1,056.65	$1,320.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.93 / $1,270.36 / $2,044.85	Professional		$916.93	$1,270.36	$2,044.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.63 / $1,130.42 / $1,900.69	Professional		$914.63	$1,130.42	$1,900.69