Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,725.68 / $3,822.60 / $12,265.60	Facility		$2,725.68	$3,822.60	$12,265.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,725.68 / $3,157.80	Professional		$1,000.00	$2,725.68	$3,157.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,625.96 / $2,974.98 / $9,972.00	Facility		$2,625.96	$2,974.98	$9,972.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,329.60 / $1,888.03	Professional		$100.00	$1,329.60	$1,888.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,324.00 / $3,988.80 / $4,653.60	Facility		$3,324.00	$3,988.80	$4,653.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $3,656.40 / $4,819.80	Professional		$3,324.00	$3,656.40	$4,819.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.60 / $3,324.00 / $7,733.03	Facility		$2,160.60	$3,324.00	$7,733.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.07 / $3,819.42 / $4,820.00	Professional		$1,755.07	$3,819.42	$4,820.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,994.40 / $3,324.00	Professional		$1,396.08	$1,994.40	$3,324.00