Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.52 / $3,500.00 / $5,634.00	Facility		$266.52	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $276.98 / $359.35	Professional		$266.52	$276.98	$359.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $291.83 / $581.88	Professional		$94.02	$291.83	$581.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.52 / $408.35 / $26,999.73	Facility		$308.52	$408.35	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.48 / $362.98 / $28,349.72	Professional		$302.48	$362.98	$28,349.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $506.05 / $506.05	Facility		$506.05	$506.05	$506.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.48 / $415.73 / $581.88	Professional		$304.48	$415.73	$581.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.32 / $445.43 / $640.37	Professional		$306.32	$445.43	$640.37