Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.37 / $1,758.29 / $16,042.00	Facility		$718.37	$1,758.29	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.47 / $718.37 / $855.20	Professional		$640.47	$718.37	$855.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,392.00 / $11,153.00 / $28,794.00	Facility		$4,392.00	$11,153.00	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.24 / $1,011.28 / $1,395.56	Professional		$755.24	$1,011.28	$1,395.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.52 / $1,005.36 / $1,478.48	Facility		$788.52	$1,005.36	$1,478.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $689.96 / $854.23 / $1,182.78	Professional		$689.96	$854.23	$1,182.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,833.32 / $3,833.32 / $3,833.32	Facility		$3,833.32	$3,833.32	$3,833.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.58 / $947.02 / $1,507.20	Professional		$752.58	$947.02	$1,507.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.21 / $872.59 / $1,306.49	Professional		$706.21	$872.59	$1,306.49