Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,919.60 / $5,497.00 / $17,638.20	Facility		$3,919.60	$5,497.00	$17,638.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,537.20 / $3,919.60 / $4,063.00	Professional		$3,537.20	$3,919.60	$4,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,776.20 / $4,302.00 / $14,340.00	Facility		$3,776.20	$4,302.00	$14,340.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,250.40 / $3,824.00 / $5,151.68	Professional		$3,250.40	$3,824.00	$5,151.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $6,214.00 / $7,648.00	Facility		$4,780.00	$6,214.00	$7,648.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,736.00 / $7,170.00	Professional		$4,780.00	$5,736.00	$7,170.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $4,780.00 / $10,654.04	Facility		$3,107.00	$4,780.00	$10,654.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,047.68 / $5,822.04 / $6,975.46	Professional		$5,047.68	$5,822.04	$6,975.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $5,253.22	Professional		$2,007.60	$2,868.00	$5,253.22