Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $3,500.00 / $5,634.00	Facility		$137.09	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $137.09 / $202.82	Professional		$128.07	$137.09	$202.82
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 $106.34 / $125.11 / $177.65	Professional		$106.34	$125.11	$177.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.16 / $3,797.33 / $6,036.93	Facility		$253.16	$3,797.33	$6,036.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,015.05 / $2,015.05 / $2,015.05	Facility		$2,015.05	$2,015.05	$2,015.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $165.15 / $320.04	Professional		$140.38	$165.15	$320.04
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 $141.93 / $218.21 / $315.62	Professional		$141.93	$218.21	$315.62