Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.70 / $833.39 / $4,846.00	Facility		$752.70	$833.39	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.05 / $784.41 / $1,060.95	Professional		$690.05	$784.41	$1,060.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.00 / $5,444.94 / $7,747.00	Facility		$3,027.00	$5,444.94	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.88 / $686.10 / $946.81	Professional		$548.88	$686.10	$946.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $694.49 / $902.84 / $1,041.74	Facility		$694.49	$902.84	$1,041.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $694.49 / $833.39 / $1,041.74	Professional		$694.49	$833.39	$1,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $893.51	Facility		$761.00	$761.00	$893.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.76 / $877.68 / $1,504.20	Professional		$635.76	$877.68	$1,504.20
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 $651.35 / $837.26 / $1,475.78	Professional		$651.35	$837.26	$1,475.78