Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.70 / $931.85 / $14,063.00	Facility		$662.70	$931.85	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.22 / $833.10 / $1,092.45	Professional		$656.22	$833.10	$1,092.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,641.00 / $8,512.00 / $16,305.00	Facility		$3,641.00	$8,512.00	$16,305.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.04 / $674.33 / $1,000.85	Professional		$535.04	$674.33	$1,000.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $610.41 / $793.55 / $1,067.16	Facility		$610.41	$793.55	$1,067.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.54 / $931.85 / $1,164.81	Professional		$776.54	$931.85	$1,164.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $1,137.56 / $3,909.74	Facility		$761.00	$1,137.56	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.46 / $896.01 / $1,570.14	Professional		$660.46	$896.01	$1,570.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.91 / $908.89 / $1,635.07	Professional		$712.91	$908.89	$1,635.07