Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.43 / $2,318.00 / $11,093.00	Facility		$721.43	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.06 / $759.18 / $1,226.94	Professional		$686.06	$759.18	$1,226.94
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 $637.10 / $885.00 / $1,221.30	Professional		$637.10	$885.00	$1,221.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.93 / $989.51 / $1,484.27	Facility		$720.93	$989.51	$1,484.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $706.79 / $883.49 / $1,272.23	Professional		$706.79	$883.49	$1,272.23
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 $714.84 / $904.40 / $1,562.53	Professional		$714.84	$904.40	$1,562.53
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 $629.15 / $838.98 / $1,470.82	Professional		$629.15	$838.98	$1,470.82