Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.92 / $2,777.00 / $19,071.00	Facility		$510.92	$2,777.00	$19,071.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.94 / $510.92 / $711.08	Professional		$490.94	$510.92	$711.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,025.00 / $11,989.00 / $32,252.00	Facility		$5,025.00	$11,989.00	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.12 / $1,143.90 / $1,578.58	Professional		$915.12	$1,143.90	$1,578.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.45 / $761.58 / $1,142.36	Facility		$539.45	$761.58	$1,142.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $517.87 / $634.65 / $913.89	Professional		$517.87	$634.65	$913.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,155.86 / $7,155.86 / $7,155.86	Facility		$7,155.86	$7,155.86	$7,155.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.13 / $1,286.31 / $2,282.98	Professional		$653.13	$1,286.31	$2,282.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $9,369.00 / $15,660.00	Facility		$4,699.00	$9,369.00	$15,660.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.78 / $1,254.86 / $2,129.41	Professional		$1,044.78	$1,254.86	$2,129.41