Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $24,721.10 / $24,721.10	Facility		$3,570.00	$24,721.10	$24,721.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,570.00 / $3,570.00	Professional		$3,000.00	$3,570.00	$3,570.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,914.00 / $10,371.00 / $24,721.13	Facility		$6,914.00	$10,371.00	$24,721.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,401.92 / $4,252.39 / $8,488.45	Professional		$3,401.92	$4,252.39	$8,488.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,796.52 / $4,796.52 / $7,434.61	Facility		$4,796.52	$4,796.52	$7,434.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,036.35 / $5,995.65 / $7,194.78	Professional		$5,036.35	$5,995.65	$7,194.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,721.13 / $24,721.13 / $24,721.13	Facility		$24,721.13	$24,721.13	$24,721.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.00 / $3,090.00 / $3,090.00	Professional		$3,090.00	$3,090.00	$3,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.26 / $2,674.34 / $3,006.25	Professional		$1,733.26	$2,674.34	$3,006.25