Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.47 / $2,318.00 / $11,093.00	Facility		$457.47	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $485.78 / $617.58	Professional		$457.47	$485.78	$617.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.25 / $553.00 / $745.00	Professional		$423.25	$553.00	$745.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.71 / $591.35 / $894.47	Facility		$441.71	$591.35	$894.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.71 / $552.14 / $795.08	Professional		$441.71	$552.14	$795.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $546.36 / $2,126.90	Facility		$450.00	$546.36	$2,126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.12 / $566.77 / $869.03	Professional		$379.12	$566.77	$869.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,818.00 / $11,038.00	Facility		$2,029.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.86 / $533.08 / $929.10	Professional		$407.86	$533.08	$929.10