Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.51 / $989.51 / $1,709.60	Facility		$989.51	$989.51	$1,709.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $989.51 / $1,739.07	Professional		$910.65	$989.51	$1,739.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.50 / $1,164.11 / $1,606.48	Professional		$989.50	$1,164.11	$1,606.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,031.83 / $1,315.08 / $1,517.40	Facility		$1,031.83	$1,315.08	$1,517.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,011.60 / $1,213.92 / $1,517.40	Professional		$1,011.60	$1,213.92	$1,517.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,239.41 / $2,316.08	Professional		$975.00	$1,239.41	$2,316.08
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 $967.29 / $1,236.46 / $1,816.80	Professional		$967.29	$1,236.46	$1,816.80