Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $1,773.00 / $5,634.00	Facility		$289.02	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $289.02 / $379.82	Professional		$256.52	$289.02	$379.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,010.00 / $48,877.66	Facility		$2,048.00	$4,010.00	$48,877.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.24 / $365.80 / $504.80	Professional		$253.24	$365.80	$504.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $366.28 / $404.77	Facility		$281.75	$366.28	$404.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.75 / $338.10 / $422.63	Professional		$281.75	$338.10	$422.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,067.92 / $27,067.92 / $32,086.37	Facility		$27,067.92	$27,067.92	$32,086.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $388.55 / $626.34	Professional		$293.20	$388.55	$626.34
United Facility/Professional Facility Modifier Low / Median / High Price $6,475.00 / $14,882.00 / $20,461.00	Facility		$6,475.00	$14,882.00	$20,461.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.70 / $333.76 / $572.98	Professional		$246.70	$333.76	$572.98