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 / $14,063.00	Facility		$1,386.00	$4,846.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.00 / $1,386.00 / $36,901.00	Professional		$1,030.00	$1,386.00	$36,901.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,819.00 / $28,558.98	Facility		$2,451.00	$15,819.00	$28,558.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89,999.10 / $89,999.10 / $89,999.10	Facility		$89,999.10	$89,999.10	$89,999.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $65,624.34 / $89,999.10	Professional		$52,499.48	$65,624.34	$89,999.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,390.82 / $10,390.82 / $10,390.82	Facility		$10,390.82	$10,390.82	$10,390.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00