Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.00 / $5,868.00 / $13,284.00	Facility		$2,952.00	$5,868.00	$13,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,844.00 / $2,952.00 / $3,600.00	Professional		$2,844.00	$2,952.00	$3,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,844.00 / $3,222.00 / $10,800.00	Facility		$2,844.00	$3,222.00	$10,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,987.20	Professional		$1,440.00	$1,440.00	$1,987.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,680.00 / $5,040.00	Facility		$3,600.00	$4,680.00	$5,040.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $5,400.00	Professional		$3,600.00	$4,320.00	$5,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $6,803.70 / $14,039.25	Facility		$2,340.00	$6,803.70	$14,039.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.94 / $2,591.94 / $5,220.00	Professional		$1,619.94	$2,591.94	$5,220.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,320.00	Facility		$3,600.00	$3,600.00	$4,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $3,956.40	Professional		$1,512.00	$2,160.00	$3,956.40