Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,950.00 / $4,100.00 / $22,240.00	Facility		$3,950.00	$4,100.00	$22,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,950.00 / $4,100.00 / $5,000.00	Professional		$3,950.00	$4,100.00	$5,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $4,500.00 / $5,255.00	Facility		$2,000.00	$4,500.00	$5,255.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,000.00 / $2,000.00	Professional		$1,800.00	$2,000.00	$2,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $41,999.58 / $126,000.00	Facility		$6,000.00	$41,999.58	$126,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,750.00 / $7,000.00 / $138,130.97	Professional		$5,750.00	$7,000.00	$138,130.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $3,890.50 / $6,597.50	Facility		$3,250.00	$3,890.50	$6,597.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,802.70 / $24,100.00 / $24,100.00	Professional		$5,802.70	$24,100.00	$24,100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $5,000.00	Professional		$2,100.00	$3,000.00	$5,000.00