Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.94 / $1,628.00 / $17,225.00	Facility		$901.94	$1,628.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.15 / $908.51 / $1,375.82	Professional		$802.15	$908.51	$1,375.82
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 $907.24 / $1,143.94 / $1,578.63	Professional		$907.24	$1,143.94	$1,578.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $841.65 / $1,072.70 / $1,237.73	Facility		$841.65	$1,072.70	$1,237.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $825.15 / $948.92 / $1,237.73	Professional		$825.15	$948.92	$1,237.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.41 / $1,095.16 / $1,959.69	Professional		$915.41	$1,095.16	$1,959.69
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 $860.51 / $1,055.76 / $1,639.06	Professional		$860.51	$1,055.76	$1,639.06