Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Facility		$1,557.09	$1,557.09	$1,557.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $21,537.01	Professional		$1,557.09	$1,557.09	$21,537.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $6,562.00	Facility		$3,400.00	$3,400.00	$6,562.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,703.20 / $3,400.00 / $4,000.00	Professional		$1,703.20	$3,400.00	$4,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $677.87 / $5,670.00 / $9,747.23	Facility		$677.87	$5,670.00	$9,747.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.50 / $1,196.25 / $9,968.75	Professional		$797.50	$1,196.25	$9,968.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,488.00 / $4,488.00 / $4,488.00	Professional		$4,488.00	$4,488.00	$4,488.00