Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $12,000.00 / $12,000.00	Facility		$4,800.00	$12,000.00	$12,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $4,800.00	Professional		$4,800.00	$4,800.00	$4,800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.94 / $7,528.30 / $11,500.00	Facility		$2,062.94	$7,528.30	$11,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,500.00 / $5,700.00 / $8,094.00	Professional		$5,500.00	$5,700.00	$8,094.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,360.00 / $6,360.00 / $9,600.00	Facility		$6,360.00	$6,360.00	$9,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $6,000.00	Professional		$5,100.00	$5,100.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $6,200.00	Professional		$5,000.00	$5,000.00	$6,200.00