Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.03 / $1,386.00 / $4,846.00	Facility		$936.03	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.60 / $936.03 / $1,170.04	Professional		$868.60	$936.03	$1,170.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $18,815.27 / $27,126.94	Facility		$4,838.00	$18,815.27	$27,126.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.69 / $1,239.09 / $1,709.95	Professional		$889.69	$1,239.09	$1,709.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $896.68 / $1,165.68 / $1,345.02	Facility		$896.68	$1,165.68	$1,345.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $896.68 / $1,043.85 / $1,345.02	Professional		$896.68	$1,043.85	$1,345.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.02 / $1,290.14 / $2,085.60	Professional		$971.02	$1,290.14	$2,085.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.24 / $1,103.34 / $1,929.11	Professional		$838.24	$1,103.34	$1,929.11