Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.90 / $1,941.00 / $7,212.00	Facility		$348.90	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $348.90 / $471.02	Professional		$304.95	$348.90	$471.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.00 / $6,340.00 / $30,900.00	Facility		$2,796.00	$6,340.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.47 / $310.50 / $440.91	Professional		$214.47	$310.50	$440.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.35 / $442.46 / $510.53	Facility		$340.35	$442.46	$510.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.35 / $408.42 / $510.53	Professional		$340.35	$408.42	$510.53
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 $309.98 / $410.90 / $628.07	Professional		$309.98	$410.90	$628.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,138.00 / $6,032.00 / $10,413.00	Facility		$3,138.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.54 / $360.52 / $618.92	Professional		$255.54	$360.52	$618.92