Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.00 / $993.28 / $4,846.00	Facility		$827.00	$993.28	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.82 / $827.00 / $1,003.85	Professional		$738.82	$827.00	$1,003.85
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 $867.56 / $1,095.48 / $1,511.76	Professional		$867.56	$1,095.48	$1,511.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $844.28 / $1,076.05 / $1,241.59	Facility		$844.28	$1,076.05	$1,241.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $827.73 / $993.28 / $1,241.59	Professional		$827.73	$993.28	$1,241.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.46 / $1,067.31 / $1,882.32	Professional		$800.46	$1,067.31	$1,882.32
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 $823.50 / $1,006.16 / $1,588.85	Professional		$823.50	$1,006.16	$1,588.85