Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.28 / $4,846.00 / $14,063.00	Facility		$535.28	$4,846.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.28 / $537.71 / $713.71	Professional		$535.28	$537.71	$713.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $7,833.00 / $14,645.00	Facility		$3,536.00	$7,833.00	$14,645.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.50 / $890.00 / $1,263.80	Professional		$756.50	$890.00	$1,263.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.83 / $673.45 / $1,472.15	Facility		$508.83	$673.45	$1,472.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.85 / $598.62 / $1,545.76	Professional		$498.85	$598.62	$1,545.76
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 $533.50 / $698.43 / $1,265.25	Professional		$533.50	$698.43	$1,265.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.41 / $1,228.20 / $2,248.03	Professional		$681.41	$1,228.20	$2,248.03