Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.23 / $3,500.00 / $19,148.00	Facility		$646.23	$3,500.00	$19,148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.23 / $1,508.46 / $2,205.48	Professional		$646.23	$1,508.46	$2,205.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,076.00 / $23,814.00	Facility		$3,719.00	$10,076.00	$23,814.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.72 / $1,471.95 / $3,196.34	Professional		$759.72	$1,471.95	$3,196.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $644.63 / $821.59 / $1,977.99	Facility		$644.63	$821.59	$1,977.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,402.93 / $1,609.86 / $2,104.40	Professional		$1,402.93	$1,609.86	$2,104.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,379.37 / $3,379.37 / $3,379.37	Facility		$3,379.37	$3,379.37	$3,379.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.55 / $1,253.54 / $3,364.31	Professional		$659.55	$1,253.54	$3,364.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,585.47 / $2,326.25 / $3,684.91	Professional		$1,585.47	$2,326.25	$3,684.91