Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.11 / $1,386.00 / $4,846.00	Facility		$212.11	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $212.11 / $306.83	Professional		$198.06	$212.11	$306.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,353.94 / $12,775.00 / $30,091.00	Facility		$2,353.94	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.85 / $2,353.94 / $3,248.45	Professional		$2,000.85	$2,353.94	$3,248.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.39 / $424.10 / $121,498.80	Facility		$300.39	$424.10	$121,498.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.73 / $339.28 / $127,573.72	Professional		$282.73	$339.28	$127,573.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,641.13 / $3,107.21 / $3,107.21	Professional		$2,641.13	$3,107.21	$3,107.21
United Facility/Professional Professional Modifier Low / Median / High Price $327.77 / $416.10 / $644.85	Professional		$327.77	$416.10	$644.85