Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.62 / $1,386.00 / $7,212.00	Facility		$422.62	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.62 / $455.97 / $595.90	Professional		$422.62	$455.97	$595.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $582.50 / $803.85	Professional		$466.00	$582.50	$803.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.06 / $537.91 / $620.66	Facility		$422.06	$537.91	$620.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.78 / $475.85 / $620.66	Professional		$413.78	$475.85	$620.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.81 / $592.67 / $1,015.80	Professional		$428.81	$592.67	$1,015.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $8,348.00 / $11,284.00	Facility		$3,200.00	$8,348.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.11 / $542.36 / $963.75	Professional		$436.11	$542.36	$963.75