Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $1,247.64 / $7,212.00	Facility		$116.37	$1,247.64	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $299.00 / $1,551.32	Professional		$114.45	$299.00	$1,551.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,119.97 / $8,230.00	Facility		$600.00	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $758.25 / $1,561.31	Professional		$134.76	$758.25	$1,561.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $139.82 / $1,515.38	Facility		$107.55	$139.82	$1,515.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,074.13 / $1,232.56 / $1,611.20	Professional		$1,074.13	$1,232.56	$1,611.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $202.58 / $761.00	Facility		$202.58	$202.58	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $263.55 / $1,699.17	Professional		$133.25	$263.55	$1,699.17
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.12 / $1,201.43 / $2,504.17	Professional		$936.12	$1,201.43	$2,504.17