Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.95 / $2,318.00 / $11,093.00	Facility		$791.95	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.17 / $798.92 / $1,074.77	Professional		$713.17	$798.92	$1,074.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.93 / $1,086.20 / $1,498.95	Professional		$719.93	$1,086.20	$1,498.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.62 / $1,081.05 / $1,621.58	Facility		$787.62	$1,081.05	$1,621.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $772.18 / $965.23 / $1,389.93	Professional		$772.18	$965.23	$1,389.93
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 $837.56 / $1,071.76 / $1,755.16	Professional		$837.56	$1,071.76	$1,755.16
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 $684.74 / $917.53 / $1,668.16	Professional		$684.74	$917.53	$1,668.16