Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.68 / $2,318.00 / $11,093.00	Facility		$697.68	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.69 / $701.81 / $943.52	Professional		$626.69	$701.81	$943.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $32,252.00	Facility		$3,473.00	$7,890.00	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $988.20 / $1,363.71	Professional		$635.89	$988.20	$1,363.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $695.59 / $954.73 / $1,432.10	Facility		$695.59	$954.73	$1,432.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $681.95 / $852.44 / $1,227.51	Professional		$681.95	$852.44	$1,227.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.01 / $956.68 / $1,556.96	Professional		$748.01	$956.68	$1,556.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $9,549.00 / $15,660.00	Facility		$4,699.00	$9,549.00	$15,660.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.65 / $818.05 / $1,469.59	Professional		$613.65	$818.05	$1,469.59