Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.92 / $3,500.00 / $11,093.00	Facility		$930.92	$3,500.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.90 / $930.92 / $1,377.47	Professional		$869.90	$930.92	$1,377.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $1,187.82 / $1,912.99	Professional		$172.82	$1,187.82	$1,912.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,720.63 / $3,011.10 / $38,714.22	Facility		$1,720.63	$3,011.10	$38,714.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,010.99 / $2,580.94 / $2,580.94	Professional		$2,010.99	$2,580.94	$2,580.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,848.12 / $2,848.12 / $2,848.12	Facility		$2,848.12	$2,848.12	$2,848.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,332.73 / $1,567.92 / $1,567.92	Professional		$1,332.73	$1,567.92	$1,567.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,814.56 / $2,420.54 / $3,774.28	Professional		$1,814.56	$2,420.54	$3,774.28