Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.32 / $1,386.00 / $4,846.00	Facility		$109.32	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $109.32 / $153.72	Professional		$87.14	$109.32	$153.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,338.00 / $26,304.00	Facility		$2,310.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $400.06 / $470.66	Professional		$250.57	$400.06	$470.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.97 / $2,624.58 / $17,447.80	Facility		$174.97	$2,624.58	$17,447.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,370.92 / $3,370.92 / $3,370.92	Facility		$3,370.92	$3,370.92	$3,370.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $188.22 / $304.20	Professional		$140.51	$188.22	$304.20