Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.69 / $1,142.84 / $4,846.00	Facility		$444.69	$1,142.84	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.18 / $444.69 / $555.87	Professional		$422.18	$444.69	$555.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,611.00 / $16,700.00 / $33,821.32	Facility		$2,611.00	$16,700.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.04 / $954.80 / $1,288.98	Professional		$564.04	$954.80	$1,288.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $832.14 / $851.06 / $851.06	Facility		$832.14	$851.06	$851.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.87 / $1,009.41 / $1,985.63	Professional		$584.87	$1,009.41	$1,985.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,660.00 / $11,929.00	Facility		$1,403.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.36 / $631.21 / $951.07	Professional		$470.36	$631.21	$951.07