Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $15,575.00 / $21,963.65	Facility		$1,386.00	$15,575.00	$21,963.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,386.00	Professional		$1,173.00	$1,173.00	$1,386.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,110.00 / $11,249.00 / $30,091.00	Facility		$3,110.00	$11,249.00	$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 $47,249.53 / $64,749.35 / $89,999.10	Facility		$47,249.53	$64,749.35	$89,999.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47,249.53 / $59,061.91 / $89,999.10	Professional		$47,249.53	$59,061.91	$89,999.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.73 / $536.73 / $536.73	Professional		$536.73	$536.73	$536.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00