Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $4,846.00 / $7,212.00	Facility		$927.00	$4,846.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.00 / $731.00 / $1,386.00	Professional		$731.00	$731.00	$1,386.00
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 $329.75 / $550.28 / $759.38	Professional		$329.75	$550.28	$759.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65,624.35 / $121,498.80 / $157,498.40	Facility		$65,624.35	$121,498.80	$157,498.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121,498.79 / $145,798.54 / $182,248.18	Professional		$121,498.79	$145,798.54	$182,248.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $726.37 / $726.37	Professional		$617.41	$726.37	$726.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,076.00 / $11,151.00 / $17,380.00	Facility		$5,076.00	$11,151.00	$17,380.00