Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.28 / $2,472.00 / $17,225.00	Facility		$428.28	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.39 / $428.28 / $586.95	Professional		$382.39	$428.28	$586.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,601.00 / $10,503.00 / $19,482.00	Facility		$3,601.00	$10,503.00	$19,482.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.31 / $621.00 / $856.98	Professional		$377.31	$621.00	$856.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.44 / $588.05 / $882.09	Facility		$428.44	$588.05	$882.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.04 / $525.04 / $756.08	Professional		$420.04	$525.04	$756.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.61 / $616.86 / $966.08	Professional		$455.61	$616.86	$966.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.06 / $495.31 / $904.47	Professional		$367.06	$495.31	$904.47