Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $5,733.00 / $13,560.80	Facility		$3,675.00	$5,733.00	$13,560.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,499.00 / $2,903.25 / $3,123.75	Professional		$2,499.00	$2,903.25	$3,123.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $11,025.00 / $19,951.58	Facility		$7.30	$11,025.00	$19,951.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $7.30 / $12.28	Professional		$6.20	$7.30	$12.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $4,777.50 / $5,880.00	Facility		$3,675.00	$4,777.50	$5,880.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,410.00 / $5,512.50	Professional		$3,675.00	$4,410.00	$5,512.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.75 / $3,675.00 / $8,190.86	Facility		$2,388.75	$3,675.00	$8,190.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $4,476.30 / $5,363.11	Professional		$9.64	$4,476.30	$5,363.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $4,410.00	Facility		$3,675.00	$3,675.00	$4,410.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $2,205.00 / $4,038.83	Professional		$1,543.50	$2,205.00	$4,038.83