Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $4,846.00	Facility		$1,652.17	$1,652.17	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $1,652.17	Professional		$1,652.17	$1,652.17	$1,652.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.90 / $963.30 / $1,300.45	Professional		$718.90	$963.30	$1,300.45
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 $280.00 / $630.00 / $1,271.56	Professional		$280.00	$630.00	$1,271.56
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00