Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,716.01 / $2,819.15 / $15,292.10	Facility		$2,716.01	$2,819.15	$15,292.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,406.59 / $2,819.15 / $3,437.98	Professional		$2,406.59	$2,819.15	$3,437.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.33 / $325.33 / $325.33	Facility		$325.33	$325.33	$325.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $325.33 / $325.33	Professional		$276.52	$325.33	$325.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,125.58 / $36,098.79 / $86,637.10	Facility		$4,125.58	$36,098.79	$86,637.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,953.68 / $4,813.17 / $94,979.43	Professional		$3,953.68	$4,813.17	$94,979.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,234.69 / $2,675.09 / $4,536.42	Facility		$2,234.69	$2,675.09	$4,536.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.48 / $4,384.88 / $16,571.06	Professional		$2,578.48	$4,384.88	$16,571.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $2,062.79 / $3,437.98	Professional		$1,443.95	$2,062.79	$3,437.98