Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,390.08 / $51,777.10 / $100,755.00	Facility		$22,390.08	$51,777.10	$100,755.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $22,390.08 / $23,789.46	Professional		$22,390.08	$22,390.08	$23,789.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,004.74 / $26,821.45 / $58,632.78	Facility		$3,004.74	$26,821.45	$58,632.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,004.74 / $3,004.74 / $20,427.00	Professional		$3,004.74	$3,004.74	$20,427.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,977.58 / $2,231.12 / $29,666.86	Facility		$1,977.58	$2,231.12	$29,666.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,028.29 / $2,231.12 / $29,666.86	Professional		$2,028.29	$2,231.12	$29,666.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Facility		$23,789.46	$23,789.46	$23,789.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,043.14 / $23,789.46 / $23,789.46	Professional		$4,043.14	$23,789.46	$23,789.46
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $24,722.38 / $27,987.60	Professional		$23,323.00	$24,722.38	$27,987.60