Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.37 / $5,664.30 / $18,500.00	Facility		$363.37	$5,664.30	$18,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $580.19 / $4,369.60	Professional		$296.93	$580.19	$4,369.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $31,608.00 / $48,629.00	Facility		$2,575.00	$31,608.00	$48,629.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $2,168.13 / $4,543.31	Professional		$250.13	$2,168.13	$4,543.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $375.20 / $3,252.19 / $6,814.96	Professional	50	$375.20	$3,252.19	$6,814.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.01 / $407.55 / $4,125.89	Facility		$283.01	$407.55	$4,125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,035.38 / $3,758.09 / $5,203.52	Professional		$3,035.38	$3,758.09	$5,203.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,518.20 / $9,518.20 / $9,518.20	Facility		$9,518.20	$9,518.20	$9,518.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.76 / $1,335.73 / $6,499.86	Professional		$340.76	$1,335.73	$6,499.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,460.00 / $23,366.00	Facility		$6,526.00	$14,460.00	$23,366.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,031.77 / $4,616.49 / $7,638.60	Professional		$3,031.77	$4,616.49	$7,638.60