Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $1,386.00 / $5,634.00	Facility		$413.75	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.18 / $433.79 / $559.73	Professional		$355.18	$433.79	$559.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $479.57 / $661.80	Professional		$383.61	$479.57	$661.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.40 / $470.93 / $737.69	Facility		$357.40	$470.93	$737.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.20 / $437.29 / $605.49	Professional		$353.20	$437.29	$605.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,343.50 / $5,343.50 / $5,343.50	Facility		$5,343.50	$5,343.50	$5,343.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.49 / $556.58 / $834.62	Professional		$377.49	$556.58	$834.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $11,151.00 / $17,380.00	Facility		$5,431.00	$11,151.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.23 / $504.57 / $805.86	Professional		$370.23	$504.57	$805.86