Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.23 / $4,304.76 / $17,225.00	Facility		$337.23	$4,304.76	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $532.82 / $1,728.74	Professional		$282.83	$532.82	$1,728.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $14,796.00 / $37,128.00	Facility		$1,521.00	$14,796.00	$37,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.75 / $859.61 / $1,720.76	Professional		$249.75	$859.61	$1,720.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.61 / $399.77 / $1,624.01	Facility		$277.61	$399.77	$1,624.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.46 / $1,490.00 / $2,063.07	Professional		$1,203.46	$1,490.00	$2,063.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,450.60 / $4,450.60 / $4,450.60	Facility		$4,450.60	$4,450.60	$4,450.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.68 / $1,186.67 / $2,266.27	Professional		$329.68	$1,186.67	$2,266.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,649.00	Facility		$5,431.00	$12,296.00	$17,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.37 / $1,781.73 / $2,943.05	Professional		$1,384.37	$1,781.73	$2,943.05