Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $9,000.00 / $16,200.00	Facility		$3,600.00	$9,000.00	$16,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,937.50 / $7,500.00 / $9,937.50	Facility		$3,937.50	$7,500.00	$9,937.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.30 / $851.86 / $3,805.58	Professional		$811.30	$851.86	$3,805.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $299.63 / $458.26 / $7,200.00	Facility		$299.63	$458.26	$7,200.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.51 / $440.64 / $528.77	Professional		$352.51	$440.64	$528.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $4,500.00	Professional		$3,825.00	$3,825.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,689.38	Professional		$3,750.00	$3,750.00	$4,689.38