Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.25 / $4,846.00 / $10,985.00	Facility		$422.25	$4,846.00	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.01 / $422.25 / $563.01	Professional		$413.01	$422.25	$563.01
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 $408.43 / $510.54 / $704.54	Professional		$408.43	$510.54	$704.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.41 / $591.02 / $886.53	Facility		$433.41	$591.02	$886.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.89 / $492.51 / $709.22	Professional		$401.89	$492.51	$709.22
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 $371.99 / $529.79 / $882.33	Professional		$371.99	$529.79	$882.33
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 $408.46 / $499.60 / $892.94	Professional		$408.46	$499.60	$892.94