Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,919.60 / $5,497.00 / $17,638.20	Facility		$3,919.60	$5,497.00	$17,638.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,824.00 / $4,063.00	Professional		$3,000.00	$3,824.00	$4,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,776.20 / $4,278.10 / $14,340.00	Facility		$3,776.20	$4,278.10	$14,340.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,912.00 / $2,715.04	Professional		$100.00	$1,912.00	$2,715.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $5,736.00 / $6,692.00	Facility		$4,780.00	$5,736.00	$6,692.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,497.00 / $6,931.00	Professional		$4,780.00	$5,497.00	$6,931.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $4,780.00 / $11,120.36	Facility		$3,107.00	$4,780.00	$11,120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,523.84 / $5,492.49 / $6,931.00	Professional		$2,523.84	$5,492.49	$6,931.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $5,253.22	Professional		$2,007.60	$2,868.00	$5,253.22