Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.55 / $1,854.00 / $16,042.00	Facility		$607.55	$1,854.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.79 / $607.55 / $820.20	Professional		$537.79	$607.55	$820.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.00 / $9,888.00 / $26,304.00	Facility		$1,805.00	$9,888.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.19 / $784.60 / $1,082.74	Professional		$538.19	$784.60	$1,082.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $828.80 / $1,243.20	Facility		$629.00	$828.80	$1,243.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.00 / $740.00 / $1,065.59	Professional		$592.00	$740.00	$1,065.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $4,634.62	Facility		$3,909.74	$3,909.74	$4,634.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $809.32 / $1,325.85	Professional		$614.00	$809.32	$1,325.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.41 / $686.95 / $1,227.05	Professional		$523.41	$686.95	$1,227.05