Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.49 / $2,318.00 / $11,093.00	Facility		$726.49	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $731.66 / $984.33	Professional		$653.24	$731.66	$984.33
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 $652.29 / $1,006.50 / $1,388.97	Professional		$652.29	$1,006.50	$1,388.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.55 / $922.42 / $1,064.33	Facility		$709.55	$922.42	$1,064.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $709.55 / $851.46 / $1,064.33	Professional		$709.55	$851.46	$1,064.33
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 $778.00 / $989.29 / $1,591.10	Professional		$778.00	$989.29	$1,591.10
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 $633.41 / $848.48 / $1,549.40	Professional		$633.41	$848.48	$1,549.40