Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.50 / $2,173.00 / $11,787.20	Facility		$2,093.50	$2,173.00	$11,787.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,855.00 / $2,120.00 / $2,650.00	Professional		$1,855.00	$2,120.00	$2,650.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $208.00 / $208.00	Facility		$208.00	$208.00	$208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $208.00 / $208.00	Professional		$176.80	$208.00	$208.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,180.00 / $34,781.25 / $66,780.00	Facility		$3,180.00	$34,781.25	$66,780.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,047.50 / $3,710.00 / $49,156.41	Professional		$3,047.50	$3,710.00	$49,156.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,722.50 / $2,061.96 / $3,496.68	Facility		$1,722.50	$2,061.96	$3,496.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $3,380.00 / $12,773.00	Professional		$1,987.50	$3,380.00	$12,773.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,590.00 / $2,650.00	Professional		$1,113.00	$1,590.00	$2,650.00