Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.14 / $1,725.37 / $5,634.00	Facility		$165.14	$1,725.37	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $1,386.00 / $1,940.67	Professional		$165.14	$1,386.00	$1,940.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.13 / $275.13 / $531.00	Facility		$275.13	$275.13	$531.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $1,298.83 / $2,923.89	Professional		$220.10	$1,298.83	$2,923.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $244.29 / $2,193.46	Facility		$169.65	$244.29	$2,193.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,656.67 / $2,051.11 / $2,840.01	Professional		$1,656.67	$2,051.11	$2,840.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $379.21 / $2,588.29	Professional		$200.56	$379.21	$2,588.29
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,606.66 / $2,208.60 / $3,539.11	Professional		$1,606.66	$2,208.60	$3,539.11