Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.47 / $1,386.00 / $16,042.00	Facility		$892.47	$1,386.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.07 / $892.47 / $1,062.46	Professional		$794.07	$892.47	$1,062.46
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 $901.69 / $1,154.21 / $1,592.80	Professional		$901.69	$1,154.21	$1,592.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,248.74 / $1,652.75 / $1,958.81	Facility		$1,248.74	$1,652.75	$1,958.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,144.68 / $1,469.10 / $1,530.32	Professional		$1,144.68	$1,469.10	$1,530.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.97 / $1,140.20 / $1,922.29	Professional		$934.97	$1,140.20	$1,922.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.29 / $1,047.46 / $1,650.22	Professional		$848.29	$1,047.46	$1,650.22