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 / $2,200.00	Professional		$1,875.00	$1,875.00	$2,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $7,572.00 / $18,942.00	Facility		$1,153.00	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $2,880.00 / $3,974.40	Professional		$2,448.00	$2,880.00	$3,974.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $26,999.73 / $34,999.65	Facility		$26,999.73	$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 Facility Modifier Low / Median / High Price $761.00 / $761.00 / $761.00	Facility		$761.00	$761.00	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $1,847.43 / $3,801.60	Professional		$322.00	$1,847.43	$3,801.60
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,725.69 / $2,725.69 / $2,725.69	Professional		$2,725.69	$2,725.69	$2,725.69