Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.00 / $4,140.00 / $13,284.00	Facility		$2,952.00	$4,140.00	$13,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,664.00 / $2,952.00 / $3,060.00	Professional		$2,664.00	$2,952.00	$3,060.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,844.00 / $3,222.00 / $10,800.00	Facility		$2,844.00	$3,222.00	$10,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,440.00 / $1,944.00	Professional		$846.27	$1,440.00	$1,944.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,680.00 / $7,020.00	Facility		$3,600.00	$4,680.00	$7,020.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $5,400.00	Professional		$3,600.00	$4,320.00	$5,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $3,600.00 / $8,023.73	Facility		$2,340.00	$3,600.00	$8,023.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.80 / $4,384.80 / $5,253.49	Professional		$1,900.80	$4,384.80	$5,253.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $3,956.40	Professional		$1,512.00	$2,160.00	$3,956.40