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 $1,935.00 / $12,775.00 / $30,091.00	Facility		$1,935.00	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,581.00 / $1,860.00 / $2,566.80	Professional		$1,581.00	$1,860.00	$2,566.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,718.60 / $4,718.60 / $6,116.71	Facility		$4,718.60	$4,718.60	$6,116.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,718.60 / $5,662.32 / $7,077.90	Professional		$4,718.60	$5,662.32	$7,077.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,023.33 / $2,455.19 / $4,503.01	Professional		$2,023.33	$2,455.19	$4,503.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,735.00 / $11,929.00	Facility		$1,987.00	$5,735.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,093.57 / $2,093.57 / $2,093.57	Professional		$2,093.57	$2,093.57	$2,093.57