Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.42 / $1,386.00 / $4,846.00	Facility		$927.42	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.56 / $927.42 / $1,159.28	Professional		$894.56	$927.42	$1,159.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.64 / $903.80 / $1,247.24	Professional		$738.64	$903.80	$1,247.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $923.02 / $1,176.40 / $1,357.38	Facility		$923.02	$1,176.40	$1,357.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.92 / $1,085.90 / $1,357.38	Professional		$904.92	$1,085.90	$1,357.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.80 / $1,155.85 / $2,081.80	Professional		$803.80	$1,155.85	$2,081.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.25 / $1,155.58 / $1,938.41	Professional		$805.25	$1,155.58	$1,938.41