Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,075.00 / $4,312.50 / $13,125.00	Facility		$3,075.00	$4,312.50	$13,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,775.00 / $3,075.00 / $3,562.50	Professional		$2,775.00	$3,075.00	$3,562.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,962.50 / $3,356.25 / $11,250.00	Facility		$2,962.50	$3,356.25	$11,250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,500.00 / $2,070.00	Professional		$100.00	$1,500.00	$2,070.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $4,875.00 / $5,250.00	Facility		$3,750.00	$4,875.00	$5,250.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $4,500.00 / $5,625.00	Professional		$3,750.00	$4,500.00	$5,625.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,437.50 / $3,750.00 / $8,724.06	Facility		$2,437.50	$3,750.00	$8,724.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $3,374.97 / $5,438.00	Professional		$1,980.00	$3,374.97	$5,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $1,752.18 / $4,121.25	Professional		$1,575.00	$1,752.18	$4,121.25