Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $8,160.00 / $8,160.00	Facility		$3,264.00	$8,160.00	$8,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,386.40	Professional		$3,264.00	$3,264.00	$3,386.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,305.59 / $3,910.00 / $7,820.00	Facility		$1,305.59	$3,910.00	$7,820.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,720.00 / $3,400.00 / $5,270.00	Professional		$2,720.00	$3,400.00	$5,270.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,324.80 / $4,324.80 / $5,916.00	Facility		$4,324.80	$4,324.80	$5,916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $4,080.00	Professional		$3,400.00	$3,400.00	$4,080.00