Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $860.36 / $4,846.00	Facility		$755.39	$860.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.31 / $755.39 / $899.28	Professional		$664.31	$755.39	$899.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.32 / $935.41 / $1,315.11	Professional		$748.32	$935.41	$1,315.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $909.32 / $1,049.22	Facility		$713.47	$909.32	$1,049.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $699.48 / $804.40 / $1,049.22	Professional		$699.48	$804.40	$1,049.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.54 / $1,014.43 / $1,683.12	Professional		$776.54	$1,014.43	$1,683.12
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 $715.11 / $844.94 / $1,364.03	Professional		$715.11	$844.94	$1,364.03