Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $2,924.00 / $13,158.00	Facility		$0.02	$2,924.00	$13,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $2,924.00	Professional		$2,924.00	$2,924.00	$2,924.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $2,833.33	Facility		$0.02	$0.02	$2,833.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,408.33 / $2,833.33 / $3,824.99	Professional		$2,408.33	$2,833.33	$3,824.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,590.48 / $4,317.47 / $5,276.91	Facility		$2,590.48	$4,317.47	$5,276.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,209.54 / $4,317.47 / $5,396.84	Professional		$4,209.54	$4,317.47	$5,396.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,125.20 / $4,125.20 / $4,125.20	Facility		$4,125.20	$4,125.20	$4,125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,890.00 / $2,890.00 / $2,890.00	Professional		$2,890.00	$2,890.00	$2,890.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,776.83	Professional		$3,045.83	$3,045.83	$3,776.83