Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.47 / $2,318.00 / $11,093.00	Facility		$685.47	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.67 / $717.31 / $927.31	Professional		$645.67	$717.31	$927.31
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 $619.88 / $946.00 / $1,305.48	Professional		$619.88	$946.00	$1,305.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.31 / $937.87 / $1,406.81	Facility		$683.31	$937.87	$1,406.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $669.91 / $837.39 / $1,205.83	Professional		$669.91	$837.39	$1,205.83
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 $735.00 / $939.48 / $1,514.71	Professional		$735.00	$939.48	$1,514.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.49 / $799.02 / $1,385.24	Professional		$596.49	$799.02	$1,385.24