Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.74 / $1,386.00 / $4,846.00	Facility		$813.74	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.48 / $822.37 / $1,049.98	Professional		$705.48	$822.37	$1,049.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.40 / $600.29 / $828.41	Professional		$476.40	$600.29	$828.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.70 / $835.69 / $968.21	Facility		$655.70	$835.69	$968.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $771.41 / $964.26	Professional		$674.98	$771.41	$964.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.54 / $721.86 / $1,490.84	Professional		$494.54	$721.86	$1,490.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.50 / $769.46 / $1,244.75	Professional		$539.50	$769.46	$1,244.75