Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.96 / $3,500.00 / $7,212.00	Facility		$975.96	$3,500.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.96 / $975.96 / $1,380.08	Professional		$911.96	$975.96	$1,380.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.70 / $10,338.00 / $26,304.00	Facility		$1,457.70	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.04 / $1,457.70 / $5,262.44	Professional		$1,239.04	$1,457.70	$5,262.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,486.95 / $2,099.21 / $121,498.80	Facility		$1,486.95	$2,099.21	$121,498.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,399.48 / $1,679.38 / $127,573.72	Professional		$1,399.48	$1,679.38	$127,573.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.54 / $1,924.16 / $1,924.16	Professional		$1,635.54	$1,924.16	$1,924.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.91 / $1,707.85 / $2,855.23	Professional		$1,343.91	$1,707.85	$2,855.23