Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.73 / $840.08 / $11,093.00	Facility		$340.73	$840.08	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.32 / $458.83 / $633.00	Professional		$313.32	$458.83	$633.00
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 $242.61 / $399.61 / $567.44	Professional		$242.61	$399.61	$567.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.54 / $475.06 / $712.59	Facility		$360.54	$475.06	$712.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $497.09 / $621.36 / $894.77	Professional		$497.09	$621.36	$894.77
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 $374.80 / $563.17 / $894.77	Professional		$374.80	$563.17	$894.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,769.00	Facility		$3,364.00	$6,032.00	$10,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.18 / $552.41 / $1,012.16	Professional		$442.18	$552.41	$1,012.16