Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.88 / $2,318.00 / $7,212.00	Facility		$996.88	$2,318.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.59 / $996.88 / $1,246.09	Professional		$934.59	$996.88	$1,246.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $6,340.00 / $15,727.00	Facility		$2,310.00	$6,340.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.51 / $1,324.90 / $1,828.36	Professional		$922.51	$1,324.90	$1,828.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $969.71 / $1,260.61 / $1,454.57	Facility		$969.71	$1,260.61	$1,454.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $969.71 / $1,163.65 / $1,454.57	Professional		$969.71	$1,163.65	$1,454.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.09 / $5,248.09 / $6,221.10	Facility		$5,248.09	$5,248.09	$6,221.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.00 / $1,357.59 / $2,230.34	Professional		$1,003.00	$1,357.59	$2,230.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,370.00 / $10,069.00 / $15,750.00	Facility		$4,370.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.72 / $1,183.81 / $2,066.50	Professional		$888.72	$1,183.81	$2,066.50