Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.01 / $1,386.00 / $4,846.00	Facility		$775.01	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $775.01 / $1,022.29	Professional		$621.76	$775.01	$1,022.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $361.50 / $819.01	Professional		$181.45	$361.50	$819.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.59 / $999.03 / $1,795.39	Facility		$713.59	$999.03	$1,795.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.59 / $856.31 / $1,178.23	Professional		$713.59	$856.31	$1,178.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $902.24	Facility		$761.00	$761.00	$902.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.55 / $952.62 / $1,599.66	Professional		$621.55	$952.62	$1,599.66
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.51 / $1,080.22 / $1,940.32	Professional		$614.51	$1,080.22	$1,940.32