Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.71 / $2,318.00 / $11,093.00	Facility		$669.71	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.30 / $673.24 / $905.49	Professional		$601.30	$673.24	$905.49
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 $609.25 / $900.50 / $1,242.69	Professional		$609.25	$900.50	$1,242.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $695.24 / $916.08 / $1,374.12	Facility		$695.24	$916.08	$1,374.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $654.34 / $785.21 / $1,177.82	Professional		$654.34	$785.21	$1,177.82
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 $709.29 / $907.67 / $1,494.63	Professional		$709.29	$907.67	$1,494.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,296.00 / $17,416.00	Facility		$5,058.00	$12,296.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.04 / $773.37 / $1,424.03	Professional		$579.04	$773.37	$1,424.03