Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.09 / $3,500.00 / $16,042.00	Facility		$995.09	$3,500.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.70 / $995.09 / $1,444.72	Professional		$929.70	$995.09	$1,444.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $12,775.00 / $30,091.00	Facility		$1,935.00	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.32 / $854.50 / $3,409.42	Professional		$726.32	$854.50	$3,409.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,597.40 / $2,795.46 / $35,941.58	Facility		$1,597.40	$2,795.46	$35,941.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,866.96 / $2,396.10 / $2,495.94	Professional		$1,866.96	$2,396.10	$2,495.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,788.35 / $9,788.35 / $9,788.35	Facility		$9,788.35	$9,788.35	$9,788.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.75 / $1,127.94 / $1,127.94	Professional		$958.75	$1,127.94	$1,127.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.17 / $1,780.88 / $2,945.63	Professional		$1,416.17	$1,780.88	$2,945.63