Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $4,846.00 / $11,093.00	Facility		$656.25	$4,846.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $656.25 / $656.25	Professional		$656.25	$656.25	$656.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $269.44	Professional		$170.00	$200.00	$269.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $239.00 / $24,019.74	Facility		$239.00	$239.00	$24,019.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,623.15 / $2,623.15 / $2,623.15	Facility		$2,623.15	$2,623.15	$2,623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $264.00 / $1,602.49	Professional		$157.50	$264.00	$1,602.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.51 / $1,270.51 / $1,270.51	Professional		$1,270.51	$1,270.51	$1,270.51