Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $2,318.00 / $11,093.00	Facility		$517.50	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $517.50	Professional		$517.50	$517.50	$517.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $990.00 / $1,405.80	Professional		$841.50	$990.00	$1,405.80
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 $700.88 / $1,110.78 / $2,428.79	Professional		$700.88	$1,110.78	$2,428.79
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
United Facility/Professional Professional Modifier Low / Median / High Price $860.67 / $860.67 / $860.67	Professional		$860.67	$860.67	$860.67