Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $4,846.00 / $16,042.00	Facility		$1,386.00	$4,846.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,573.00 / $16,536.72 / $16,536.72	Professional		$4,573.00	$16,536.72	$16,536.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121,498.80 / $125,998.70 / $157,498.40	Facility		$121,498.80	$125,998.70	$157,498.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121,498.79 / $145,798.54 / $182,248.18	Professional		$121,498.79	$145,798.54	$182,248.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,768.40 / $12,768.40 / $15,135.69	Facility		$12,768.40	$12,768.40	$15,135.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00