Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.50 / $922.73 / $4,846.00	Facility		$820.50	$922.73	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.38 / $820.50 / $976.78	Professional		$729.38	$820.50	$976.78
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 $822.97 / $1,038.70 / $1,433.40	Professional		$822.97	$1,038.70	$1,433.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.19 / $975.25 / $1,125.29	Facility		$765.19	$975.25	$1,125.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $750.19 / $900.23 / $1,125.29	Professional		$750.19	$900.23	$1,125.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.39 / $986.62 / $1,713.34	Professional		$843.39	$986.62	$1,713.34
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 $780.94 / $959.20 / $1,597.79	Professional		$780.94	$959.20	$1,597.79