Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.55 / $844.60 / $4,846.00	Facility		$659.55	$844.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.55 / $714.59 / $901.63	Professional		$659.55	$714.59	$901.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.57 / $1,056.20 / $1,457.55	Professional		$769.57	$1,056.20	$1,457.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.81 / $961.14 / $1,441.71	Facility		$680.81	$961.14	$1,441.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.80 / $832.99 / $1,153.36	Professional		$672.80	$832.99	$1,153.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,379.37 / $3,379.37 / $3,379.37	Facility		$3,379.37	$3,379.37	$3,379.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.57 / $940.71 / $1,521.79	Professional		$688.57	$940.71	$1,521.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.84 / $861.60 / $1,380.65	Professional		$694.84	$861.60	$1,380.65