Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $1,386.00 / $5,634.00	Facility		$305.93	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.74 / $307.39 / $427.85	Professional		$275.74	$307.39	$427.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.77 / $428.20 / $578.66	Professional		$281.77	$428.20	$578.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.36 / $390.47 / $450.54	Facility		$300.36	$390.47	$450.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.36 / $360.43 / $450.54	Professional		$300.36	$360.43	$450.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,469.38	Facility		$1,239.56	$1,239.56	$1,469.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $430.64 / $713.35	Professional		$307.12	$430.64	$713.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $351.50 / $615.27	Professional		$263.51	$351.50	$615.27