Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,656.80 / $3,726.00 / $11,340.00	Facility		$2,656.80	$3,726.00	$11,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,397.60 / $2,656.80 / $3,240.00	Professional		$2,397.60	$2,656.80	$3,240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,559.60 / $2,899.80 / $9,720.00	Facility		$2,559.60	$2,899.80	$9,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,296.00 / $1,749.60	Professional		$100.00	$1,296.00	$1,749.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,212.00 / $4,536.00	Facility		$3,240.00	$4,212.00	$4,536.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,888.00 / $4,860.00	Professional		$3,240.00	$3,888.00	$4,860.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $3,240.00 / $7,537.66	Facility		$2,106.00	$3,240.00	$7,537.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.72 / $2,916.16 / $4,698.00	Professional		$1,710.72	$2,916.16	$4,698.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,704.45 / $3,560.76	Professional		$1,360.80	$1,704.45	$3,560.76