Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.40 / $2,318.00 / $11,093.00	Facility		$749.40	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.72 / $753.05 / $1,013.94	Professional		$659.72	$753.05	$1,013.94
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 $618.29 / $861.60 / $1,189.00	Professional		$618.29	$861.60	$1,189.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.23 / $931.10 / $1,074.34	Facility		$716.23	$931.10	$1,074.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $716.23 / $823.66 / $1,074.34	Professional		$716.23	$823.66	$1,074.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.77 / $1,011.48 / $1,640.57	Professional		$740.77	$1,011.48	$1,640.57
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 $616.34 / $855.63 / $1,522.73	Professional		$616.34	$855.63	$1,522.73