Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.00 / $5,868.00 / $13,284.00	Facility		$2,952.00	$5,868.00	$13,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,664.00 / $2,952.00 / $3,060.00	Professional		$2,664.00	$2,952.00	$3,060.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $10,800.00 / $19,544.40	Facility		$1,440.00	$10,800.00	$19,544.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $1,944.00	Professional		$1,224.00	$1,440.00	$1,944.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,680.00 / $5,760.00	Facility		$3,600.00	$4,680.00	$5,760.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $5,400.00	Professional		$3,600.00	$4,320.00	$5,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $6,803.70 / $14,039.25	Facility		$2,340.00	$6,803.70	$14,039.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,136.60 / $4,409.10 / $10,506.78	Professional		$4,136.60	$4,409.10	$10,506.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $3,956.40	Professional		$1,512.00	$2,160.00	$3,956.40