Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.84 / $3,500.00 / $14,063.00	Facility		$793.84	$3,500.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.83 / $892.50 / $1,260.00	Professional		$741.83	$892.50	$1,260.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $14,400.00 / $33,821.32	Facility		$2,705.10	$14,400.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.57 / $2,365.05 / $3,756.26	Professional		$953.57	$2,365.05	$3,756.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.05 / $1,820.96 / $89,999.10	Facility		$1,124.05	$1,820.96	$89,999.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,057.93 / $1,322.41 / $1,904.28	Professional		$1,057.93	$1,322.41	$1,904.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,963.58 / $5,963.58 / $7,069.24	Facility		$5,963.58	$5,963.58	$7,069.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,121.87 / $3,672.79 / $3,672.79	Professional		$3,121.87	$3,672.79	$3,672.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.10 / $1,405.62 / $2,424.69	Professional		$1,000.10	$1,405.62	$2,424.69