Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.94 / $2,318.00 / $16,042.00	Facility		$734.94	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.17 / $734.94 / $909.92	Professional		$658.17	$734.94	$909.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,700.00 / $17,513.00	Facility		$3,719.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.60 / $658.36 / $925.02	Professional		$559.60	$658.36	$925.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $678.51 / $864.77 / $997.82	Facility		$678.51	$864.77	$997.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $665.21 / $798.25 / $997.82	Professional		$665.21	$798.25	$997.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.53 / $842.23 / $1,531.53	Professional		$580.53	$842.23	$1,531.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.88 / $798.25 / $1,242.13	Professional		$629.88	$798.25	$1,242.13