Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $2,515.78 / $17,225.00	Facility		$166.36	$2,515.78	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $1,628.00 / $2,805.78	Professional		$161.41	$1,628.00	$2,805.78
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 $125.55 / $156.94 / $222.85	Professional		$125.55	$156.94	$222.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $188.32 / $235.41 / $324.86	Professional	50	$188.32	$235.41	$324.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.27 / $199.17 / $3,057.87	Facility		$156.27	$199.17	$3,057.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,128.71 / $2,554.46 / $3,210.77	Professional		$2,128.71	$2,554.46	$3,210.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,634.84 / $5,634.84 / $5,634.84	Facility		$5,634.84	$5,634.84	$5,634.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $450.00 / $4,020.62	Professional		$181.08	$450.00	$4,020.62
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 $2,911.22 / $3,700.00 / $5,701.08	Professional		$2,911.22	$3,700.00	$5,701.08