Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.42 / $3,000.00 / $11,093.00	Facility		$689.42	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.65 / $704.98 / $936.79	Professional		$651.65	$704.98	$936.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.83 / $734.10 / $1,013.05	Professional		$530.83	$734.10	$1,013.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $672.43 / $874.16 / $1,008.65	Facility		$672.43	$874.16	$1,008.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.43 / $806.92 / $1,008.65	Professional		$672.43	$806.92	$1,008.65
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 $636.22 / $865.65 / $1,436.72	Professional		$636.22	$865.65	$1,436.72
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 $619.00 / $783.67 / $1,452.19	Professional		$619.00	$783.67	$1,452.19