Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.27 / $1,941.00 / $7,212.00	Facility		$464.27	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $464.27 / $669.40	Professional		$403.66	$464.27	$669.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.93 / $383.60 / $544.71	Professional		$323.93	$383.60	$544.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.38 / $630.17 / $945.27	Facility		$446.38	$630.17	$945.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.13 / $546.16 / $756.21	Professional		$441.13	$546.16	$756.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.80 / $1,868.80 / $1,868.80	Facility		$1,868.80	$1,868.80	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $515.34 / $966.28	Professional		$398.23	$515.34	$966.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.77 / $472.29 / $778.74	Professional		$370.77	$472.29	$778.74