Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.10 / $1,656.36 / $16,042.00	Facility		$348.10	$1,656.36	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $1,382.84 / $1,750.70	Professional		$348.10	$1,382.84	$1,750.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.35 / $870.49 / $4,272.96	Professional		$401.35	$870.49	$4,272.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.61 / $411.16 / $2,034.21	Facility		$322.61	$411.16	$2,034.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,423.33 / $1,633.27 / $2,135.92	Professional		$1,423.33	$1,633.27	$2,135.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.09 / $1,743.09 / $1,743.09	Facility		$1,743.09	$1,743.09	$1,743.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $2,091.96 / $3,847.59	Professional		$395.76	$2,091.96	$3,847.59
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 $1,712.11 / $2,423.65 / $3,429.36	Professional		$1,712.11	$2,423.65	$3,429.36