Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $4,846.00 / $11,093.00	Facility		$1,123.00	$4,846.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.29 / $900.00 / $1,386.00	Professional		$573.29	$900.00	$1,386.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.00 / $10,957.00 / $30,091.00	Facility		$1,805.00	$10,957.00	$30,091.00
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 / $26,999.73 / $34,999.65	Facility		$26,999.73	$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 Facility Modifier Low / Median / High Price $761.00 / $761.00 / $761.00	Facility		$761.00	$761.00	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,717.41 / $9,999.99	Professional		$1,377.00	$1,717.41	$9,999.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00