Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.64 / $809.64 / $1,368.97	Facility		$809.64	$809.64	$1,368.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.63 / $809.64 / $999.16	Professional		$776.63	$809.64	$999.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,769.00 / $8,637.62 / $12,441.54	Facility		$3,769.00	$8,637.62	$12,441.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.70 / $1,072.58 / $1,523.07	Professional		$911.70	$1,072.58	$1,523.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $826.24 / $1,053.05 / $1,215.06	Facility		$826.24	$1,053.05	$1,215.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $810.04 / $972.05 / $1,215.06	Professional		$810.04	$972.05	$1,215.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.71 / $1,149.91 / $1,944.46	Professional		$927.71	$1,149.91	$1,944.46
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 $877.71 / $1,100.02 / $1,561.00	Professional		$877.71	$1,100.02	$1,561.00