Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.92 / $1,649.29 / $11,093.00	Facility		$450.92	$1,649.29	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $1,379.84 / $1,733.38	Professional		$445.70	$1,379.84	$1,733.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $10,700.00 / $28,091.00	Facility		$4,838.00	$10,700.00	$28,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.12 / $1,132.85 / $3,734.62	Professional		$504.12	$1,132.85	$3,734.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.19 / $535.54 / $2,027.19	Facility		$420.19	$535.54	$2,027.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,409.25 / $1,691.10 / $2,128.55	Professional		$1,409.25	$1,691.10	$2,128.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,780.41 / $3,780.41 / $3,780.41	Facility		$3,780.41	$3,780.41	$3,780.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.61 / $2,060.83 / $3,703.81	Professional		$487.61	$2,060.83	$3,703.81
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 $1,691.10 / $2,165.84 / $3,433.88	Professional		$1,691.10	$2,165.84	$3,433.88