Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $4,220.17	Facility		$0.02	$0.02	$4,220.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $4,220.17	Professional		$4,220.17	$4,220.17	$4,220.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,192.10 / $2,370.82 / $3,674.77	Professional		$2,192.10	$2,370.82	$3,674.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.46 / $1,574.47 / $1,816.70	Facility		$1,029.46	$1,574.47	$1,816.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.13 / $1,513.91 / $1,816.70	Professional		$1,211.13	$1,513.91	$1,816.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $5,275.21	Professional		$4,483.93	$4,483.93	$5,275.21
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $6,596.65	Professional		$5,275.21	$5,275.21	$6,596.65