Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $6,170.66 / $17,225.00	Facility		$1,628.00	$6,170.66	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.32 / $6,170.66 / $8,673.43	Professional		$953.32	$6,170.66	$8,673.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $32,251.00 / $57,499.79	Facility		$3,650.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $614.90 / $848.56	Professional		$371.58	$614.90	$848.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,536.96 / $12,836.58 / $188,495.10	Facility		$2,536.96	$12,836.58	$188,495.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,663.81 / $11,330.75 / $14,811.44	Professional		$2,663.81	$11,330.75	$14,811.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,455.16 / $15,455.16 / $15,455.16	Facility		$15,455.16	$15,455.16	$15,455.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.92 / $14,172.07 / $16,979.74	Professional		$689.92	$14,172.07	$16,979.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,061.00 / $19,962.00	Facility		$6,526.00	$14,061.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.94 / $965.92 / $1,725.65	Professional		$580.94	$965.92	$1,725.65