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 $267.00 / $267.00 / $267.00	Professional		$267.00	$267.00	$267.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $8,240.00 / $28,794.00	Facility		$2,020.00	$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 / $27,999.72 / $38,999.61	Facility		$26,999.73	$27,999.72	$38,999.61
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 $39.78 / $441.00 / $9,999.99	Professional		$39.78	$441.00	$9,999.99
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,252.00 / $4,426.00	Facility		$550.00	$2,252.00	$4,426.00