Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.00 / $4,078.20 / $5,634.00	Facility		$543.00	$4,078.20	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $790.50 / $4,288.00	Professional		$351.25	$790.50	$4,288.00
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 $26,999.73 / $29,999.70 / $60,749.39	Facility		$26,999.73	$29,999.70	$60,749.39
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 $1,238.25 / $1,238.25 / $1,238.25	Professional		$1,238.25	$1,238.25	$1,238.25
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