Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,168.01 / $3,168.01 / $3,168.01	Facility		$3,168.01	$3,168.01	$3,168.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,080.82 / $3,185.81 / $6,470.94	Professional		$3,080.82	$3,185.81	$6,470.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.52 / $1,644.00 / $3,500.00	Facility		$837.52	$1,644.00	$3,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $930.00 / $1,283.40	Professional		$930.00	$930.00	$1,283.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,056.61 / $3,973.59 / $4,737.75	Facility		$3,056.61	$3,973.59	$4,737.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,056.61 / $3,820.76 / $15,592.50	Professional		$3,056.61	$3,820.76	$15,592.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.59 / $2,821.49 / $2,821.49	Professional		$1,227.59	$2,821.49	$2,821.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.33 / $3,195.21 / $5,375.12	Professional		$387.33	$3,195.21	$5,375.12