Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,540.50 / $1,599.00 / $8,673.60	Facility		$1,540.50	$1,599.00	$8,673.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $1,599.00 / $1,950.00	Professional		$1,365.00	$1,599.00	$1,950.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $1,549.20	Facility		$1,549.20	$1,549.20	$1,549.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.82 / $1,549.20 / $1,549.20	Professional		$1,316.82	$1,549.20	$1,549.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $25,593.75 / $49,140.00	Facility		$2,340.00	$25,593.75	$49,140.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,242.50 / $2,730.00 / $36,166.92	Professional		$2,242.50	$2,730.00	$36,166.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,517.30 / $2,573.03	Facility		$1,267.50	$1,517.30	$2,573.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $2,486.98 / $9,399.00	Professional		$1,462.50	$2,486.98	$9,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $1,950.00	Professional		$819.00	$1,170.00	$1,950.00