Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.95 / $1,386.00 / $4,846.00	Facility		$331.95	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $331.95 / $410.98	Professional		$323.87	$331.95	$410.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $12,775.00 / $30,091.00	Facility		$2,354.00	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.90 / $2,354.00 / $3,342.68	Professional		$2,000.90	$2,354.00	$3,342.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.12 / $436.94 / $794.99	Facility		$297.12	$436.94	$794.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.29 / $349.55 / $491.02	Professional		$291.29	$349.55	$491.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $457.06 / $2,641.19	Professional		$342.55	$457.06	$2,641.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.27 / $384.35 / $618.30	Professional		$324.27	$384.35	$618.30