Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.40 / $1,941.00 / $7,212.00	Facility		$551.40	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.82 / $551.40 / $744.39	Professional		$493.82	$551.40	$744.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.74 / $596.60 / $823.30	Professional		$462.74	$596.60	$823.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.85 / $758.81 / $1,138.22	Facility		$552.85	$758.81	$1,138.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $542.01 / $677.51 / $975.62	Professional		$542.01	$677.51	$975.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.78 / $678.97 / $1,121.86	Professional		$518.78	$678.97	$1,121.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.61 / $603.11 / $1,036.65	Professional		$446.61	$603.11	$1,036.65