Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.17 / $1,773.00 / $5,634.00	Facility		$463.17	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.80 / $463.17 / $625.28	Professional		$411.80	$463.17	$625.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.96 / $552.00 / $761.76	Professional		$383.96	$552.00	$761.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.00 / $637.74 / $956.61	Facility		$484.00	$637.74	$956.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.53 / $569.41 / $819.96	Professional		$455.53	$569.41	$819.96
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 $475.77 / $597.16 / $971.18	Professional		$475.77	$597.16	$971.18
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 $389.54 / $518.91 / $902.60	Professional		$389.54	$518.91	$902.60