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 $2,843.00 / $8,229.00 / $13,304.00	Professional		$2,843.00	$8,229.00	$13,304.00
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 $403.77 / $475.03 / $523.54	Professional		$403.77	$475.03	$523.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.39 / $379.81 / $97,199.02	Facility		$272.39	$379.81	$97,199.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $332.33 / $474.76	Professional		$232.63	$332.33	$474.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.16 / $293.16 / $293.16	Facility		$293.16	$293.16	$293.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.35 / $1,183.35 / $1,183.35	Professional		$1,183.35	$1,183.35	$1,183.35
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $347.42 / $508.83	Professional		$267.60	$347.42	$508.83