Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.81 / $1,773.00 / $5,634.00	Facility		$499.81	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.48 / $499.81 / $685.23	Professional		$446.48	$499.81	$685.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $657.10 / $906.79	Professional		$440.91	$657.10	$906.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $499.92 / $686.17 / $1,029.26	Facility		$499.92	$686.17	$1,029.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.12 / $612.65 / $882.21	Professional		$490.12	$612.65	$882.21
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 $496.13 / $646.67 / $1,085.76	Professional		$496.13	$646.67	$1,085.76
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 $429.06 / $578.29 / $1,052.80	Professional		$429.06	$578.29	$1,052.80