Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.36 / $1,386.00 / $4,846.00	Facility		$646.36	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $646.36 / $908.53	Professional		$577.60	$646.36	$908.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.47 / $1,399.50 / $1,931.31	Professional		$1,025.47	$1,399.50	$1,931.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.42 / $15,561.27 / $24,736.59	Facility		$1,037.42	$15,561.27	$24,736.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,152.40 / $3,956.07	Facility		$450.00	$1,152.40	$3,956.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.82 / $1,847.34 / $1,847.34	Professional		$696.82	$1,847.34	$1,847.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,721.00 / $10,000.00 / $18,302.00	Facility		$2,721.00	$10,000.00	$18,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.09 / $1,053.08 / $1,483.86	Professional		$754.09	$1,053.08	$1,483.86