Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.15 / $1,386.00 / $11,093.00	Facility		$376.15	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.59 / $376.15 / $627.28	Professional		$348.59	$376.15	$627.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $9,462.00	Facility		$2,140.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.74 / $405.70 / $559.86	Professional		$309.74	$405.70	$559.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.17 / $482.52 / $556.76	Facility		$371.17	$482.52	$556.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.17 / $433.17 / $556.76	Professional		$371.17	$433.17	$556.76
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 $355.00 / $505.58 / $780.36	Professional		$355.00	$505.58	$780.36
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 $322.57 / $421.19 / $767.33	Professional		$322.57	$421.19	$767.33