Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.03 / $1,635.03 / $11,093.00	Facility		$141.03	$1,635.03	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $332.68 / $3,363.78	Professional		$141.03	$332.68	$3,363.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $15,205.00 / $25,750.00	Facility		$1,521.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $1,147.93 / $6,737.86	Professional		$116.81	$1,147.93	$6,737.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $175.22 / $1,721.90 / $10,106.79	Professional	50	$175.22	$1,721.90	$10,106.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.03 / $198.75 / $1,992.83	Facility		$138.03	$198.75	$1,992.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,461.01 / $1,808.87 / $2,504.60	Professional		$1,461.01	$1,808.87	$2,504.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.58 / $1,899.58 / $1,899.58	Facility		$1,899.58	$1,899.58	$1,899.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.34 / $708.47 / $5,156.55	Professional		$166.34	$708.47	$5,156.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,746.48 / $2,807.82 / $5,117.18	Professional		$1,746.48	$2,807.82	$5,117.18