Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $4,846.00	Facility		$1,875.00	$1,875.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,260.00 / $12,775.00 / $30,091.00	Facility		$2,260.00	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,921.00 / $2,260.00 / $3,118.80	Professional		$1,921.00	$2,260.00	$3,118.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25,999.74 / $26,999.73 / $34,999.65	Facility		$25,999.74	$26,999.73	$34,999.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,999.73 / $32,399.68 / $40,499.60	Professional		$26,999.73	$32,399.68	$40,499.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,312.06 / $2,983.20 / $5,145.60	Professional		$2,312.06	$2,983.20	$5,145.60
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
United Facility/Professional Professional Modifier Low / Median / High Price $2,392.65 / $2,392.65 / $2,392.65	Professional		$2,392.65	$2,392.65	$2,392.65