Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $7,680.00 / $7,680.00	Facility		$3,072.00	$7,680.00	$7,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,187.20	Professional		$3,072.00	$3,072.00	$3,187.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,913.24 / $3,773.59 / $7,360.00	Facility		$1,913.24	$3,773.59	$7,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $3,300.00 / $5,115.00	Professional		$3,300.00	$3,300.00	$5,115.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,070.40 / $4,070.40 / $5,568.00	Facility		$4,070.40	$4,070.40	$5,568.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,366.00	Professional		$3,264.00	$3,264.00	$3,366.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,840.00	Professional		$3,200.00	$3,200.00	$3,840.00