Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $5,200.00 / $13,304.00	Facility		$787.00	$5,200.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.96 / $221.96 / $234.49	Professional		$221.96	$221.96	$234.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $243.28 / $268.12	Professional		$206.78	$243.28	$268.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.77 / $277.14 / $97,199.02	Facility		$198.77	$277.14	$97,199.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $242.51 / $346.44	Professional		$187.65	$242.51	$346.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.83 / $212.83 / $212.83	Facility		$212.83	$212.83	$212.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.74 / $863.74 / $863.74	Professional		$863.74	$863.74	$863.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.88 / $244.98 / $369.33	Professional		$186.88	$244.98	$369.33