Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.72 / $1,386.00 / $5,634.00	Facility		$314.72	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.92 / $314.72 / $374.67	Professional		$278.92	$314.72	$374.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $13,810.27	Facility		$1,682.00	$3,950.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.09 / $386.70 / $533.64	Professional		$251.09	$386.70	$533.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.18 / $374.93 / $432.62	Facility		$294.18	$374.93	$432.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.41 / $346.09 / $432.62	Professional		$288.41	$346.09	$432.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.10 / $382.65 / $657.04	Professional		$283.10	$382.65	$657.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $346.09 / $561.27	Professional		$294.69	$346.09	$561.27