Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.26 / $880.70 / $4,846.00	Facility		$779.26	$880.70	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.30 / $779.26 / $927.69	Professional		$692.30	$779.26	$927.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.38 / $976.04 / $1,346.93	Professional		$777.38	$976.04	$1,346.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $726.81 / $926.33 / $1,068.83	Facility		$726.81	$926.33	$1,068.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.56 / $855.07 / $1,068.83	Professional		$712.56	$855.07	$1,068.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.74 / $981.83 / $1,638.74	Professional		$788.74	$981.83	$1,638.74
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 $737.03 / $908.58 / $1,476.90	Professional		$737.03	$908.58	$1,476.90