Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.61 / $4,371.35 / $11,093.00	Facility		$633.61	$4,371.35	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.61 / $769.34 / $1,194.15	Professional		$633.61	$769.34	$1,194.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.80 / $828.70 / $1,161.70	Professional		$627.80	$828.70	$1,161.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $621.15 / $904.76 / $1,145.31	Facility		$621.15	$904.76	$1,145.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $842.70 / $964.15 / $1,202.58	Professional		$842.70	$964.15	$1,202.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.56 / $951.42 / $1,546.72	Professional		$720.56	$951.42	$1,546.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.76 / $904.10 / $1,492.88	Professional		$713.76	$904.10	$1,492.88