Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.66 / $3,500.00 / $5,634.00	Facility		$167.66	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $188.52 / $266.23	Professional		$156.74	$188.52	$266.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $184.76 / $263.83	Professional		$82.92	$184.76	$263.83
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
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $234.77 / $335.39	Professional		$234.77	$234.77	$335.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,834.08 / $15,834.08 / $18,769.75	Facility		$15,834.08	$15,834.08	$18,769.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $304.85 / $304.85	Professional		$259.12	$304.85	$304.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $301.49 / $499.21	Professional		$214.50	$301.49	$499.21