Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.79 / $1,941.00 / $7,212.00	Facility		$642.79	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.79 / $642.79 / $867.78	Professional		$573.79	$642.79	$867.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.00 / $6,340.00 / $30,900.00	Facility		$2,796.00	$6,340.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.84 / $742.40 / $1,024.51	Professional		$554.84	$742.40	$1,024.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $642.60 / $882.00 / $1,323.00	Facility		$642.60	$882.00	$1,323.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $787.50 / $1,134.00	Professional		$630.00	$787.50	$1,134.00
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 $656.94 / $835.61 / $1,394.52	Professional		$656.94	$835.61	$1,394.52
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 $546.01 / $738.73 / $1,268.92	Professional		$546.01	$738.73	$1,268.92