Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $9,225.00 / $18,450.00	Facility		$5,000.00	$9,225.00	$18,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,700.00 / $4,100.00 / $4,750.00	Professional		$3,700.00	$4,100.00	$4,750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $15,000.00 / $27,145.00	Facility		$2,000.00	$15,000.00	$27,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,000.00 / $2,700.00	Professional		$1,700.00	$2,000.00	$2,700.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,610.10 / $4,610.10 / $6,750.00	Facility		$4,610.10	$4,610.10	$6,750.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,610.10 / $5,071.12 / $121,498.79	Professional		$4,610.10	$5,071.12	$121,498.79
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 $5,745.24 / $6,123.75 / $14,593.29	Professional		$5,745.24	$6,123.75	$14,593.29
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