Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.22 / $3,500.00 / $7,000.00	Facility		$1,385.22	$3,500.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.58 / $1,385.22 / $1,923.92	Professional		$1,212.58	$1,385.22	$1,923.92
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 $1,052.58 / $1,238.34 / $1,708.92	Professional		$1,052.58	$1,238.34	$1,708.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,255.15 / $34,671.42 / $57,307.23	Facility		$2,255.15	$34,671.42	$57,307.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.43 / $1,634.62 / $1,634.62	Professional		$1,389.43	$1,634.62	$1,634.62
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 $1,739.75 / $2,233.03 / $3,686.09	Professional		$1,739.75	$2,233.03	$3,686.09