Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.27 / $3,500.00 / $7,000.00	Facility		$1,115.27	$3,500.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.10 / $1,115.27 / $1,650.21	Professional		$1,042.10	$1,115.27	$1,650.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,048.00 / $36,076.04 / $47,628.00	Facility		$5,048.00	$36,076.04	$47,628.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,539.99 / $2,563.23 / $3,537.25	Professional		$1,539.99	$2,563.23	$3,537.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,460.00 / $23,337.60 / $43,749.56	Facility		$1,460.00	$23,337.60	$43,749.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,875.94 / $3,383.46 / $3,383.46	Professional		$2,875.94	$3,383.46	$3,383.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,873.66 / $2,323.34 / $3,827.16	Professional		$1,873.66	$2,323.34	$3,827.16