Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.42 / $942.61 / $4,846.00	Facility		$784.42	$942.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.57 / $784.42 / $951.19	Professional		$742.57	$784.42	$951.19
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 $882.20 / $1,121.42 / $1,547.55	Professional		$882.20	$1,121.42	$1,547.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $801.22 / $1,021.16 / $1,178.27	Facility		$801.22	$1,021.16	$1,178.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $785.51 / $942.61 / $1,178.27	Professional		$785.51	$942.61	$1,178.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.06 / $1,038.39 / $1,865.54	Professional		$786.06	$1,038.39	$1,865.54
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 $816.64 / $1,026.13 / $1,534.50	Professional		$816.64	$1,026.13	$1,534.50