Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.59 / $2,472.00 / $17,225.00	Facility		$841.59	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.45 / $841.59 / $1,171.28	Professional		$765.45	$841.59	$1,171.28
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 $863.68 / $1,079.59 / $1,489.84	Professional		$863.68	$1,079.59	$1,489.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $877.43 / $1,238.72 / $1,858.08	Facility		$877.43	$1,238.72	$1,858.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $842.33 / $1,032.26 / $1,486.46	Professional		$842.33	$1,032.26	$1,486.46
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 $836.98 / $1,154.69 / $1,961.26	Professional		$836.98	$1,154.69	$1,961.26
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 $829.90 / $1,033.81 / $1,784.49	Professional		$829.90	$1,033.81	$1,784.49