Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.48 / $4,846.00 / $8,964.82	Facility		$613.48	$4,846.00	$8,964.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.54 / $621.65 / $898.66	Professional		$571.54	$621.65	$898.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $7,230.00 / $18,942.00	Facility		$1,153.00	$7,230.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.63 / $790.80 / $1,091.30	Professional		$597.63	$790.80	$1,091.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.63 / $776.92 / $896.45	Facility		$597.63	$776.92	$896.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $597.63 / $717.16 / $896.45	Professional		$597.63	$717.16	$896.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.40 / $811.53 / $1,232.05	Professional		$593.40	$811.53	$1,232.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.99 / $735.82 / $1,309.52	Professional		$532.99	$735.82	$1,309.52