Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.00 / $3,648.76 / $7,969.95	Facility		$543.00	$3,648.76	$7,969.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $552.08 / $1,292.00	Professional		$191.45	$552.08	$1,292.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,411.06 / $8,240.00 / $28,794.00	Facility		$2,411.06	$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 $25,999.74 / $26,999.73 / $34,999.65	Facility		$25,999.74	$26,999.73	$34,999.65
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 $58.87 / $58.87 / $58.87	Professional		$58.87	$58.87	$58.87
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $2,291.00 / $4,426.00	Facility		$899.00	$2,291.00	$4,426.00