Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.68 / $1,391.00 / $14,063.00	Facility		$691.68	$1,391.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.57 / $693.34 / $836.06	Professional		$660.57	$693.34	$836.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $11,249.00 / $30,091.00	Facility		$2,174.00	$11,249.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.54 / $1,000.52 / $1,380.71	Professional		$618.54	$1,000.52	$1,380.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $706.41 / $900.33 / $1,038.83	Facility		$706.41	$900.33	$1,038.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $692.56 / $831.07 / $1,038.83	Professional		$692.56	$831.07	$1,038.83
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 $694.43 / $913.47 / $1,574.92	Professional		$694.43	$913.47	$1,574.92
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 $718.21 / $899.03 / $1,348.04	Professional		$718.21	$899.03	$1,348.04