Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.45 / $1,773.00 / $5,634.00	Facility		$644.45	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.69 / $646.71 / $870.01	Professional		$577.69	$646.71	$870.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.66 / $873.70 / $1,205.70	Professional		$566.66	$873.70	$1,205.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $644.16 / $884.14 / $1,326.21	Facility		$644.16	$884.14	$1,326.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.53 / $757.84 / $1,136.76	Professional		$631.53	$757.84	$1,136.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $824.92 / $1,392.23	Professional		$657.00	$824.92	$1,392.23
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.75 / $736.76 / $1,356.59	Professional		$552.75	$736.76	$1,356.59