Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.84 / $1,590.42 / $14,063.00	Facility		$618.84	$1,590.42	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.11 / $621.34 / $836.48	Professional		$555.11	$621.34	$836.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $24,714.00 / $35,662.00	Facility		$2,705.10	$24,714.00	$35,662.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.78 / $833.90 / $1,150.78	Professional		$557.78	$833.90	$1,150.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.15 / $847.07 / $1,270.60	Facility		$617.15	$847.07	$1,270.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $605.04 / $756.31 / $1,089.08	Professional		$605.04	$756.31	$1,089.08
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 $648.00 / $849.46 / $1,365.90	Professional		$648.00	$849.46	$1,365.90
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 $534.05 / $724.04 / $1,276.56	Professional		$534.05	$724.04	$1,276.56