Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $3,405.25 / $5,634.00	Facility		$137.09	$3,405.25	$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 $255.50 / $3,832.47 / $6,091.74	Facility		$255.50	$3,832.47	$6,091.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,931.95 / $1,931.95 / $1,931.95	Facility		$1,931.95	$1,931.95	$1,931.95
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 / $217.15 / $311.27	Professional		$141.93	$217.15	$311.27