Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $1,386.00 / $4,846.00	Facility		$121.58	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $136.66 / $215.20	Professional		$113.55	$136.66	$215.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.35 / $7,572.00 / $18,942.00	Facility		$1,411.35	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.49 / $499.40 / $689.17	Professional		$424.49	$499.40	$689.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.84 / $1,730.88 / $23,258.16	Facility		$108.84	$1,730.88	$23,258.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.33 / $659.21 / $659.21	Professional		$560.33	$659.21	$659.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $300.50 / $476.85	Professional		$223.47	$300.50	$476.85