Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.03 / $911.03 / $1,504.07	Facility		$911.03	$911.03	$1,504.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.34 / $911.03 / $1,574.89	Professional		$863.34	$911.03	$1,574.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.03 / $5,790.87 / $8,700.00	Facility		$996.03	$5,790.87	$8,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.96 / $996.03 / $1,374.52	Professional		$768.96	$996.03	$1,374.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $907.78 / $1,156.97 / $1,334.97	Facility		$907.78	$1,156.97	$1,334.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.98 / $1,021.25 / $1,334.97	Professional		$889.98	$1,021.25	$1,334.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.19 / $1,121.77 / $2,048.46	Professional		$800.19	$1,121.77	$2,048.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.09 / $1,053.47 / $1,829.07	Professional		$817.09	$1,053.47	$1,829.07