Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.32 / $1,628.00 / $17,225.00	Facility		$975.32	$1,628.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.84 / $975.32 / $1,161.08	Professional		$863.84	$975.32	$1,161.08
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 $919.57 / $1,164.49 / $1,653.57	Professional		$919.57	$1,164.49	$1,653.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $919.59 / $1,172.03 / $1,352.34	Facility		$919.59	$1,172.03	$1,352.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $901.56 / $1,036.79 / $1,352.34	Professional		$901.56	$1,036.79	$1,352.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.67 / $1,263.40 / $2,141.15	Professional		$974.67	$1,263.40	$2,141.15
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 $878.92 / $1,111.17 / $1,851.53	Professional		$878.92	$1,111.17	$1,851.53