Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.93 / $3,500.00 / $11,562.80	Facility		$973.93	$3,500.00	$11,562.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.16 / $1,028.88 / $1,157.91	Professional		$846.16	$1,028.88	$1,157.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.46 / $1,023.40 / $1,378.72	Professional		$805.46	$1,023.40	$1,378.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,208.19 / $1,535.10 / $2,068.08	Professional	50	$1,208.19	$1,535.10	$2,068.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.33 / $1,240.13 / $1,875.83	Facility		$926.33	$1,240.13	$1,875.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $926.33 / $1,111.59 / $1,667.40	Professional		$926.33	$1,111.59	$1,667.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $646.00 / $2,126.90	Facility		$450.00	$646.00	$2,126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.27 / $1,083.81 / $1,724.74	Professional		$749.27	$1,083.81	$1,724.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,818.00 / $11,038.00	Facility		$2,029.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.45 / $1,056.10 / $1,740.07	Professional		$795.45	$1,056.10	$1,740.07