Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.70 / $1,123.00 / $11,093.00	Facility		$540.70	$1,123.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.70 / $652.79 / $823.15	Professional		$540.70	$652.79	$823.15
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 $553.15 / $691.44 / $1,037.16	Professional		$553.15	$691.44	$1,037.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.09 / $770.67 / $967.46	Facility		$529.09	$770.67	$967.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.71 / $855.25 / $1,015.84	Professional		$712.71	$855.25	$1,015.84
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 $604.84 / $814.29 / $1,268.19	Professional		$604.84	$814.29	$1,268.19
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 $614.54 / $855.25 / $1,291.77	Professional		$614.54	$855.25	$1,291.77