Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.52 / $3,000.00 / $11,093.00	Facility		$402.52	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.52 / $407.80 / $501.74	Professional		$402.52	$407.80	$501.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $10,303.00	Facility		$2,140.00	$5,948.00	$10,303.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $276.87 / $426.30	Professional		$242.40	$276.87	$426.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.92 / $565.16 / $613.21	Facility		$390.92	$565.16	$613.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.01 / $459.91 / $591.30	Professional		$438.01	$459.91	$591.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.14 / $538.75 / $775.01	Professional		$425.14	$538.75	$775.01
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.42 / $349.54 / $527.49	Professional		$273.42	$349.54	$527.49