Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.00 / $4,846.00 / $5,634.00	Facility		$824.00	$4,846.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.00 / $1,686.00 / $4,573.00	Professional		$1,686.00	$1,686.00	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,411.06 / $8,240.00 / $28,794.00	Facility		$2,411.06	$8,240.00	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $26,999.73 / $34,999.65	Facility		$1,755.00	$26,999.73	$34,999.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,999.73 / $32,399.68 / $40,499.60	Professional		$26,999.73	$32,399.68	$40,499.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.54 / $668.54 / $668.54	Professional		$668.54	$668.54	$668.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00