Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.24 / $2,351.65 / $5,634.00	Facility		$367.24	$2,351.65	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $459.06 / $3,237.35	Professional		$312.33	$459.06	$3,237.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,914.00 / $43,260.00	Facility		$1,682.00	$3,914.00	$43,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $139.57 / $223.31	Professional		$118.63	$139.57	$223.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.25 / $508.63 / $4,701.68	Facility		$391.25	$508.63	$4,701.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,312.16 / $3,974.59 / $4,968.24	Professional		$3,312.16	$3,974.59	$4,968.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,182.80 / $12,182.80 / $14,441.52	Facility		$12,182.80	$12,182.80	$14,441.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $384.97 / $4,248.63	Professional		$184.98	$384.97	$4,248.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,649.00	Facility		$5,058.00	$12,330.00	$17,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $1,760.67 / $3,673.02	Professional		$194.11	$1,760.67	$3,673.02