Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.29 / $2,318.00 / $16,042.00	Facility		$766.29	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.39 / $772.26 / $1,038.28	Professional		$689.39	$772.26	$1,038.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,526.00 / $12,289.00 / $37,919.46	Facility		$3,526.00	$12,289.00	$37,919.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.77 / $1,003.20 / $1,384.41	Professional		$671.77	$1,003.20	$1,384.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.16 / $1,047.48 / $1,571.22	Facility		$763.16	$1,047.48	$1,571.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $748.20 / $897.84 / $1,346.76	Professional		$748.20	$897.84	$1,346.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,889.70 / $8,889.70 / $10,537.86	Facility		$8,889.70	$8,889.70	$10,537.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.73 / $989.98 / $1,675.49	Professional		$775.73	$989.98	$1,675.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.12 / $895.60 / $1,571.15	Professional		$666.12	$895.60	$1,571.15