Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.54 / $1,572.71 / $10,985.00	Facility		$642.54	$1,572.71	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.17 / $642.54 / $856.73	Professional		$641.17	$642.54	$856.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,044.00 / $10,366.00 / $28,794.00	Facility		$5,044.00	$10,366.00	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.79 / $827.24 / $1,174.68	Professional		$661.79	$827.24	$1,174.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $635.23 / $896.79 / $1,345.19	Facility		$635.23	$896.79	$1,345.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.75 / $777.22 / $1,076.15	Professional		$627.75	$777.22	$1,076.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,833.32 / $3,833.32 / $3,833.32	Facility		$3,833.32	$3,833.32	$3,833.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.79 / $853.67 / $1,358.40	Professional		$621.79	$853.67	$1,358.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.77 / $768.11 / $1,289.01	Professional		$636.77	$768.11	$1,289.01