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 $372.75 / $800.00 / $1,386.00	Professional		$372.75	$800.00	$1,386.00
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 $201.70 / $237.30 / $336.96	Professional		$201.70	$237.30	$336.96
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 $266.25 / $313.24 / $313.24	Professional		$266.25	$313.24	$313.24
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00