Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.04 / $1,386.00 / $5,634.00	Facility		$352.04	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.43 / $352.04 / $419.09	Professional		$305.43	$352.04	$419.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.80 / $345.58 / $476.90	Professional		$260.80	$345.58	$476.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $327.22 / $417.04 / $481.20	Facility		$327.22	$417.04	$481.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.80 / $370.91 / $481.20	Professional		$320.80	$370.91	$481.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.79 / $2,243.79 / $2,243.79	Facility		$2,243.79	$2,243.79	$2,243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $367.20 / $733.87	Professional		$287.52	$367.20	$733.87
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 $273.14 / $360.87 / $592.76	Professional		$273.14	$360.87	$592.76