Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.93 / $4,682.21 / $11,093.00	Facility		$307.93	$4,682.21	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $415.70 / $662.00	Professional		$278.99	$415.70	$662.00
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 $216.26 / $360.53 / $511.95	Professional		$216.26	$360.53	$511.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.56 / $393.33 / $610.74	Facility		$302.56	$393.33	$610.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.71 / $534.85 / $668.57	Professional		$445.71	$534.85	$668.57
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 $351.52 / $509.18 / $825.66	Professional		$351.52	$509.18	$825.66
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 $402.82 / $511.74 / $910.86	Professional		$402.82	$511.74	$910.86