Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $4,846.00 / $7,212.00	Facility		$216.07	$4,846.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $216.07 / $314.70	Professional		$201.82	$216.07	$314.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.99 / $591.50 / $798.52	Professional		$325.99	$591.50	$798.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.02 / $4,892.60 / $43,749.56	Facility		$306.02	$4,892.60	$43,749.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.35 / $445.35 / $445.35	Facility		$445.35	$445.35	$445.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.66 / $780.78 / $780.78	Professional		$663.66	$780.78	$780.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.67 / $423.90 / $657.14	Professional		$303.67	$423.90	$657.14