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 $362.73 / $543.00 / $1,386.00	Professional		$362.73	$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 / $32,999.67 / $50,999.49	Facility		$26,999.73	$32,999.67	$50,999.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,999.73 / $33,749.66 / $43,199.57	Professional		$26,999.73	$33,749.66	$43,199.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $450.00 / $646.00	Facility		$64.00	$450.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.00 / $808.00 / $1,358.91	Professional		$808.00	$808.00	$1,358.91
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00