Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.01 / $2,094.54 / $16,042.00	Facility		$419.01	$2,094.54	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.59 / $1,524.25 / $2,094.54	Professional		$356.59	$1,524.25	$2,094.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $13,414.00 / $25,750.00	Facility		$1,521.00	$13,414.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.42 / $1,155.13 / $2,105.27	Professional		$279.42	$1,155.13	$2,105.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.76 / $421.55 / $2,170.85	Facility		$330.76	$421.55	$2,170.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,617.19 / $1,848.22 / $2,310.27	Professional		$1,617.19	$1,848.22	$2,310.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,711.80 / $4,711.80 / $4,711.80	Facility		$4,711.80	$4,711.80	$4,711.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.43 / $1,583.96 / $2,763.22	Professional		$379.43	$1,583.96	$2,763.22
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 $1,640.01 / $2,173.50 / $3,450.49	Professional		$1,640.01	$2,173.50	$3,450.49