Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.60 / $2,334.50 / $7,105.00	Facility		$1,664.60	$2,334.50	$7,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.20 / $1,664.60 / $2,030.00	Professional		$1,502.20	$1,664.60	$2,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $6,090.00 / $11,020.87	Facility		$200.00	$6,090.00	$11,020.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $276.00	Professional		$200.00	$200.00	$276.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,639.00 / $2,842.00	Facility		$2,030.00	$2,639.00	$2,842.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,436.00 / $3,045.00	Professional		$2,030.00	$2,436.00	$3,045.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $2,030.00 / $4,524.93	Facility		$1,319.50	$2,030.00	$4,524.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $1,849.19 / $2,962.43	Professional		$264.00	$1,849.19	$2,962.43
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $2,230.96	Professional		$852.60	$1,218.00	$2,230.96