Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.36 / $2,642.47 / $17,225.00	Facility		$997.36	$2,642.47	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.44 / $997.36 / $1,388.08	Professional		$908.44	$997.36	$1,388.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,306.20 / $1,802.55	Professional		$1,044.96	$1,306.20	$1,802.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.84 / $1,468.02 / $2,202.03	Facility		$1,039.84	$1,468.02	$2,202.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.60 / $1,272.28 / $1,761.63	Professional		$1,027.60	$1,272.28	$1,761.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.78 / $1,384.00 / $2,290.03	Professional		$1,015.78	$1,384.00	$2,290.03
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 $992.05 / $1,223.33 / $2,118.44	Professional		$992.05	$1,223.33	$2,118.44