Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.84 / $2,318.00 / $11,093.00	Facility		$568.84	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.73 / $575.22 / $771.71	Professional		$528.73	$575.22	$771.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $15,154.00	Facility		$2,318.00	$6,474.00	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.97 / $717.10 / $989.59	Professional		$535.97	$717.10	$989.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $567.02 / $778.26 / $1,167.39	Facility		$567.02	$778.26	$1,167.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.90 / $694.88 / $1,000.62	Professional		$555.90	$694.88	$1,000.62
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 $583.92 / $779.44 / $1,269.06	Professional		$583.92	$779.44	$1,269.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.99 / $677.94 / $1,220.21	Professional		$507.99	$677.94	$1,220.21