Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.07 / $1,212.47 / $7,212.00	Facility		$322.07	$1,212.47	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.07 / $419.88 / $472.77	Professional		$322.07	$419.88	$472.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $447.27 / $635.12	Professional		$354.00	$447.27	$635.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.23 / $454.79 / $620.74	Facility		$312.23	$454.79	$620.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $454.52 / $545.41 / $651.78	Professional		$454.52	$545.41	$651.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.75 / $518.96 / $784.66	Professional		$365.75	$518.96	$784.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.37 / $507.34 / $813.12	Professional		$394.37	$507.34	$813.12