Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.14 / $902.86 / $4,846.00	Facility		$803.14	$902.86	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.94 / $803.14 / $956.12	Professional		$713.94	$803.14	$956.12
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 $800.96 / $1,008.84 / $1,392.19	Professional		$800.96	$1,008.84	$1,392.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.71 / $954.24 / $1,101.05	Facility		$748.71	$954.24	$1,101.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $734.03 / $880.84 / $1,101.05	Professional		$734.03	$880.84	$1,101.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.56 / $984.70 / $1,710.39	Professional		$816.56	$984.70	$1,710.39
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 $758.91 / $936.09 / $1,447.16	Professional		$758.91	$936.09	$1,447.16