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 $543.00 / $543.00 / $1,386.00	Professional		$543.00	$543.00	$1,386.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,915.00 / $8,240.00 / $28,794.00	Facility		$2,915.00	$8,240.00	$28,794.00
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 / $26,999.73 / $38,999.61	Facility		$26,999.73	$26,999.73	$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 Professional Modifier Low / Median / High Price $630.76 / $630.76 / $630.76	Professional		$630.76	$630.76	$630.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,235.00 / $12,296.00 / $17,416.00	Facility		$5,235.00	$12,296.00	$17,416.00