Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1,294.26 / $5,824.17	Facility		$0.02	$1,294.26	$5,824.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.26 / $1,294.26 / $1,294.26	Professional		$1,294.26	$1,294.26	$1,294.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $1,429.07	Facility		$0.02	$0.02	$1,429.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.70 / $1,429.07 / $1,929.24	Professional		$1,214.70	$1,429.07	$1,929.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $566.55 / $566.55 / $566.55	Facility		$566.55	$566.55	$566.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $566.55 / $566.55 / $566.55	Professional		$566.55	$566.55	$566.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $3,929.94	Professional		$1,429.07	$1,429.07	$3,929.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,617.82	Professional		$1,388.63	$1,388.63	$1,617.82