Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.43 / $2,318.00 / $11,093.00	Facility		$505.43	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.75 / $505.43 / $682.32	Professional		$450.75	$505.43	$682.32
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 $421.15 / $620.00 / $855.60	Professional		$421.15	$620.00	$855.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $694.89 / $1,042.33	Facility		$506.28	$694.89	$1,042.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $496.35 / $620.44 / $893.43	Professional		$496.35	$620.44	$893.43
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 $503.48 / $621.60 / $1,067.84	Professional		$503.48	$621.60	$1,067.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.02 / $580.71 / $1,013.34	Professional		$430.02	$580.71	$1,013.34