Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.00 / $4,846.00 / $5,634.00	Facility		$543.00	$4,846.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $822.50 / $2,581.60	Professional		$395.25	$822.50	$2,581.60
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 $26,999.73 / $36,999.62 / $55,499.45	Facility		$26,999.73	$36,999.62	$55,499.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,999.73 / $33,749.66 / $50,624.49	Professional		$26,999.73	$33,749.66	$50,624.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,393.32 / $3,393.32 / $3,393.32	Professional		$3,393.32	$3,393.32	$3,393.32
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