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 / $12,775.00 / $31,770.00	Facility		$1,805.00	$12,775.00	$31,770.00
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 / $34,999.65 / $52,499.48	Facility		$26,999.73	$34,999.65	$52,499.48
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 $1,421.00 / $2,316.85 / $9,999.99	Professional		$1,421.00	$2,316.85	$9,999.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,369.00 / $15,750.00	Facility		$3,800.00	$9,369.00	$15,750.00