Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,300.00 / $18,450.00	Facility		$5,000.00	$8,300.00	$18,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,950.00 / $4,200.00 / $5,000.00	Professional		$3,950.00	$4,200.00	$5,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,950.00 / $4,475.00 / $15,000.00	Facility		$3,950.00	$4,475.00	$15,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,760.00	Professional		$2,000.00	$2,000.00	$2,760.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $6,500.00 / $9,750.00	Facility		$5,000.00	$6,500.00	$9,750.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $6,000.00 / $7,500.00	Professional		$5,000.00	$6,000.00	$7,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $9,450.23 / $19,499.66	Facility		$3,250.00	$9,450.23	$19,499.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,640.00 / $6,089.96 / $7,296.46	Professional		$2,640.00	$6,089.96	$7,296.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $5,495.00	Professional		$2,100.00	$3,000.00	$5,495.00