Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.09 / $686.32 / $4,846.00	Facility		$610.09	$686.32	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $610.09 / $726.30	Professional		$540.58	$610.09	$726.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.08 / $740.11 / $1,050.95	Professional		$592.08	$740.11	$1,050.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.14 / $725.37 / $836.97	Facility		$569.14	$725.37	$836.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.98 / $656.47 / $836.97	Professional		$557.98	$656.47	$836.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.02 / $790.75 / $1,325.17	Professional		$619.02	$790.75	$1,325.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.16 / $699.15 / $1,139.50	Professional		$558.16	$699.15	$1,139.50