Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,870.00 / $5,705.00 / $12,915.00	Facility		$2,870.00	$5,705.00	$12,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,590.00 / $2,870.00 / $2,975.00	Professional		$2,590.00	$2,870.00	$2,975.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.16 / $10,500.00 / $19,001.50	Facility		$239.16	$10,500.00	$19,001.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $239.16 / $322.86	Professional		$203.28	$239.16	$322.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $4,550.00 / $6,825.00	Facility		$3,500.00	$4,550.00	$6,825.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,200.00 / $5,250.00	Professional		$3,500.00	$4,200.00	$5,250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,614.79 / $13,649.76	Facility		$2,275.00	$6,614.79	$13,649.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.69 / $4,263.10 / $5,107.68	Professional		$315.69	$4,263.10	$5,107.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $3,846.50	Professional		$1,470.00	$2,100.00	$3,846.50