Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $5,200.00 / $13,304.00	Facility		$860.00	$5,200.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $308.25 / $308.25	Professional		$308.25	$308.25	$308.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $243.28 / $268.12	Professional		$206.78	$243.28	$268.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.17 / $425.50 / $97,199.02	Facility		$305.17	$425.50	$97,199.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.94 / $372.32 / $531.88	Professional		$265.94	$372.32	$531.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.51 / $323.51 / $323.51	Facility		$323.51	$323.51	$323.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.80 / $1,326.80 / $1,326.80	Professional		$1,326.80	$1,326.80	$1,326.80
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $12,612.00	Facility		$842.00	$4,539.00	$12,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.05 / $384.99 / $580.41	Professional		$295.05	$384.99	$580.41