Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,508.00 / $7,644.00 / $14,464.80	Facility		$4,508.00	$7,644.00	$14,464.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,665.60 / $3,096.80 / $3,920.00	Professional		$2,665.60	$3,096.80	$3,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,096.80 / $3,920.00 / $11,760.00	Facility		$3,096.80	$3,920.00	$11,760.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,136.00 / $3,920.00 / $5,281.02	Professional		$3,136.00	$3,920.00	$5,281.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,920.00 / $4,704.00 / $5,684.00	Facility		$3,920.00	$4,704.00	$5,684.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,920.00 / $4,312.00 / $5,488.00	Professional		$3,920.00	$4,312.00	$5,488.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,548.00 / $7,408.94 / $14,000.94	Facility		$2,548.00	$7,408.94	$14,000.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,575.78 / $4,774.87 / $10,478.12	Professional		$3,575.78	$4,774.87	$10,478.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $2,352.00 / $4,308.08	Professional		$1,646.40	$2,352.00	$4,308.08