Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $1,386.00 / $4,846.00	Facility		$791.70	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,580.56 / $24,062.10	Facility		$5,091.00	$15,580.56	$24,062.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.50 / $730.00 / $1,036.59	Professional		$620.50	$730.00	$1,036.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45,499.55 / $47,249.53 / $61,249.39	Facility		$45,499.55	$47,249.53	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47,249.53 / $56,699.43 / $70,874.28	Professional		$47,249.53	$56,699.43	$70,874.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,177.74 / $3,327.54	Professional		$819.06	$1,177.74	$3,327.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.70 / $1,148.39 / $1,848.30	Professional		$923.70	$1,148.39	$1,848.30