Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $3,855.86 / $17,351.40	Facility		$0.02	$3,855.86	$17,351.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $3,855.86 / $4,096.85	Professional		$3,855.86	$3,855.86	$4,096.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $4,819.82	Facility		$0.02	$0.02	$4,819.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,855.85 / $4,819.82 / $6,506.75	Professional		$3,855.85	$4,819.82	$6,506.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,906.06 / $8,440.74 / $8,632.58	Facility		$6,906.06	$8,440.74	$8,632.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,596.67 / $7,596.67 / $7,596.67	Professional		$7,596.67	$7,596.67	$7,596.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,551.94	Professional		$4,819.82	$4,819.82	$5,551.94
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $6,025.04 / $6,327.49	Professional		$5,684.00	$6,025.04	$6,327.49