Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.01 / $3,500.00 / $7,212.00	Facility		$984.01	$3,500.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.33 / $984.01 / $1,383.02	Professional		$919.33	$984.01	$1,383.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,841.00 / $32,251.00 / $57,499.79	Facility		$3,841.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.55 / $537.12 / $631.90	Professional		$456.55	$537.12	$631.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,558.19 / $2,511.14 / $21,870.71	Facility		$1,558.19	$2,511.14	$21,870.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,352.15 / $2,317.96 / $3,090.63	Professional		$1,352.15	$2,317.96	$3,090.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,661.08 / $15,237.81	Facility		$450.00	$1,661.08	$15,237.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,328.37 / $6,328.37 / $6,328.37	Professional		$6,328.37	$6,328.37	$6,328.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,010.00 / $16,153.00 / $34,320.00	Facility		$3,010.00	$16,153.00	$34,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.59 / $1,637.40 / $2,750.20	Professional		$1,079.59	$1,637.40	$2,750.20