Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,075.03 / $28,742.00 / $28,742.00	Facility		$5,075.03	$28,742.00	$28,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,075.03 / $5,075.03 / $5,548.74	Professional		$5,075.03	$5,075.03	$5,548.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,038.57 / $12,057.86 / $28,742.01	Facility		$8,038.57	$12,057.86	$28,742.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,230.01 / $4,944.05 / $9,869.10	Professional		$4,230.01	$4,944.05	$9,869.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,576.69 / $5,576.69 / $8,643.87	Facility		$5,576.69	$5,576.69	$8,643.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,855.52 / $6,970.86 / $8,365.03	Professional		$5,855.52	$6,970.86	$8,365.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,742.01 / $28,742.01 / $28,742.01	Facility		$28,742.01	$28,742.01	$28,742.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,592.00 / $3,592.00 / $3,592.00	Professional		$3,592.00	$3,592.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,903.36 / $2,814.10 / $3,495.22	Professional		$1,903.36	$2,814.10	$3,495.22