Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $3,000.00 / $11,093.00	Facility		$367.50	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $269.44	Professional		$170.00	$200.00	$269.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $16,812.05 / $89,999.10	Facility		$239.00	$16,812.05	$89,999.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $65,624.34 / $89,999.10	Professional		$52,499.48	$65,624.34	$89,999.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $264.00 / $897.39	Professional		$157.50	$264.00	$897.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $3,027.00 / $5,402.00	Facility		$1,533.00	$3,027.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.48 / $711.48 / $711.48	Professional		$711.48	$711.48	$711.48