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 / $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 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 $1,463.00 / $4,504.25 / $9,999.99	Professional		$1,463.00	$4,504.25	$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