Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $1,941.00 / $7,212.00	Facility		$453.60	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.71 / $453.60 / $767.16	Professional		$403.71	$453.60	$767.16
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 $381.00 / $459.60 / $652.63	Professional		$381.00	$459.60	$652.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $452.48 / $576.69 / $665.42	Facility		$452.48	$576.69	$665.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.61 / $532.33 / $665.42	Professional		$443.61	$532.33	$665.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.31 / $555.16 / $942.73	Professional		$467.31	$555.16	$942.73
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 $416.80 / $544.47 / $955.46	Professional		$416.80	$544.47	$955.46