Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.86 / $2,318.00 / $11,093.00	Facility		$524.86	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $524.86 / $718.02	Professional		$483.61	$524.86	$718.02
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 $476.49 / $672.10 / $927.49	Professional		$476.49	$672.10	$927.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.87 / $721.78 / $1,082.67	Facility		$525.87	$721.78	$1,082.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.55 / $618.66 / $928.01	Professional		$515.55	$618.66	$928.01
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 $551.45 / $730.08 / $1,149.36	Professional		$551.45	$730.08	$1,149.36
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 $449.27 / $608.86 / $1,105.57	Professional		$449.27	$608.86	$1,105.57