Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,708.30 / $64,969.30 / $196,845.00	Facility		$28,708.30	$64,969.30	$196,845.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $31,266.46	Professional		$28,424.06	$28,424.06	$31,266.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $56,848.12 / $68,786.23	Facility		$28,424.06	$56,848.12	$68,786.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $39,225.19	Professional		$28,424.06	$28,424.06	$39,225.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $42,636.09	Facility		$28,424.06	$28,424.06	$42,636.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $35,530.08	Professional		$28,424.06	$28,424.06	$35,530.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $28,424.06	Facility		$28,424.06	$28,424.06	$28,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $32,178.18	Professional		$28,424.06	$28,424.06	$32,178.18
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $30,129.50 / $32,178.18	Professional		$28,424.06	$30,129.50	$32,178.18