Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.75 / $2,318.00 / $14,063.00	Facility		$482.75	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.20 / $482.75 / $643.66	Professional		$478.20	$482.75	$643.66
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 $476.56 / $595.71 / $843.93	Professional		$476.56	$595.71	$843.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.10 / $674.97 / $1,012.46	Facility		$478.10	$674.97	$1,012.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $472.48 / $584.97 / $809.97	Professional		$472.48	$584.97	$809.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,258.41 / $2,258.41 / $2,258.41	Facility		$2,258.41	$2,258.41	$2,258.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.06 / $625.38 / $1,068.67	Professional		$464.06	$625.38	$1,068.67
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 $461.66 / $570.27 / $984.04	Professional		$461.66	$570.27	$984.04