Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.04 / $1,275.04 / $4,846.00	Facility		$816.04	$1,275.04	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $839.04 / $1,132.52	Professional		$736.90	$839.04	$1,132.52
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 $643.84 / $804.80 / $1,110.61	Professional		$643.84	$804.80	$1,110.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $754.46 / $980.80 / $1,131.69	Facility		$754.46	$980.80	$1,131.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $754.46 / $867.63 / $1,131.69	Professional		$754.46	$867.63	$1,131.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $970.76	Facility		$761.00	$761.00	$970.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.14 / $967.49 / $1,703.89	Professional		$727.14	$967.49	$1,703.89
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 $727.89 / $907.48 / $1,637.05	Professional		$727.89	$907.48	$1,637.05