Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.28 / $1,190.24 / $11,093.00	Facility		$486.28	$1,190.24	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.53 / $486.28 / $578.91	Professional		$423.53	$486.28	$578.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.62 / $545.78 / $753.17	Professional		$436.62	$545.78	$753.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.83 / $586.04 / $676.22	Facility		$459.83	$586.04	$676.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.81 / $522.30 / $676.22	Professional		$450.81	$522.30	$676.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,183.17 / $4,183.17 / $4,183.17	Facility		$4,183.17	$4,183.17	$4,183.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.47 / $599.02 / $1,026.90	Professional		$458.47	$599.02	$1,026.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.97 / $528.47 / $889.76	Professional		$437.97	$528.47	$889.76