Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $2,318.00 / $11,093.00	Facility		$655.04	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.77 / $658.59 / $884.92	Professional		$575.77	$658.59	$884.92
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 $525.62 / $698.80 / $964.34	Professional		$525.62	$698.80	$964.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.08 / $813.90 / $939.12	Facility		$626.08	$813.90	$939.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $626.08 / $751.30 / $939.12	Professional		$626.08	$751.30	$939.12
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 $631.54 / $835.18 / $1,383.93	Professional		$631.54	$835.18	$1,383.93
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 $531.75 / $709.99 / $1,218.89	Professional		$531.75	$709.99	$1,218.89