Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $5,491.20 / $12,988.80	Facility		$3,520.00	$5,491.20	$12,988.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,515.00 / $4,515.00 / $11,616.00	Professional		$4,515.00	$4,515.00	$11,616.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,780.80 / $3,150.40 / $10,560.00	Facility		$2,780.80	$3,150.40	$10,560.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $48.25 / $3,520.00	Professional		$31.07	$48.25	$3,520.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $4,400.00 / $51,723.40	Facility		$3,520.00	$4,400.00	$51,723.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,872.00 / $4,752.00	Professional		$3,520.00	$3,872.00	$4,752.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $3,520.00 / $6,652.70	Facility		$2,288.00	$3,520.00	$6,652.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,325.83 / $4,044.92 / $5,056.14	Professional		$3,325.83	$4,044.92	$5,056.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $3,872.00	Professional		$1,478.40	$2,112.00	$3,872.00