Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.26 / $1,386.00 / $4,846.00	Facility		$654.26	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $657.85 / $901.64	Professional		$587.54	$657.85	$901.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $33,765.49 / $49,433.26	Facility		$4,800.00	$33,765.49	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $959.10 / $1,323.55	Professional		$629.16	$959.10	$1,323.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $651.97 / $894.87 / $1,342.31	Facility		$651.97	$894.87	$1,342.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $639.19 / $798.99 / $1,150.55	Professional		$639.19	$798.99	$1,150.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.30 / $988.00 / $1,508.13	Professional		$707.30	$988.00	$1,508.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $797.58 / $1,409.18	Professional		$568.95	$797.58	$1,409.18