Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,941.00 / $7,212.00	Facility		$478.63	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.17 / $478.63 / $646.15	Professional		$424.17	$478.63	$646.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.43 / $440.25 / $625.15	Professional		$357.43	$440.25	$625.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.80 / $601.64 / $694.20	Facility		$462.80	$601.64	$694.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.80 / $535.17 / $694.20	Professional		$462.80	$535.17	$694.20
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 $475.90 / $597.82 / $964.00	Professional		$475.90	$597.82	$964.00
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 $387.63 / $509.84 / $909.72	Professional		$387.63	$509.84	$909.72