Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $4,846.00 / $7,954.00	Facility		$1,386.00	$4,846.00	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $4,988.00	Professional		$1,386.00	$1,386.00	$4,988.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,446.00 / $18,496.73 / $25,750.00	Facility		$7,446.00	$18,496.73	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.80 / $1,577.26 / $2,239.69	Professional		$1,261.80	$1,577.26	$2,239.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $65,624.35 / $89,999.10	Facility		$43,749.56	$65,624.35	$89,999.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,100.00 / $16,100.00 / $16,100.00	Facility		$16,100.00	$16,100.00	$16,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,769.68 / $2,081.98 / $2,081.98	Professional		$1,769.68	$2,081.98	$2,081.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00