Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.04 / $2,318.00 / $11,093.00	Facility		$800.04	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.49 / $837.66 / $1,147.13	Professional		$720.49	$837.66	$1,147.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $30,900.00	Facility		$3,473.00	$7,890.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.85 / $715.12 / $1,063.09	Professional		$607.85	$715.12	$1,063.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $829.20 / $1,092.58 / $1,638.89	Facility		$829.20	$1,092.58	$1,638.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $780.42 / $975.53 / $1,404.75	Professional		$780.42	$975.53	$1,404.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $1,085.39 / $1,752.39	Professional		$850.00	$1,085.39	$1,752.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.17 / $936.50 / $1,661.13	Professional		$697.17	$936.50	$1,661.13