Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,500.00 / $10,985.00	Facility		$1,386.00	$3,500.00	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.40 / $1,591.26 / $2,246.78	Professional		$1,322.40	$1,591.26	$2,246.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,972.00 / $23,164.30 / $33,555.00	Facility		$6,972.00	$23,164.30	$33,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,752.58 / $2,001.82 / $2,111.05	Professional		$1,752.58	$2,001.82	$2,111.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,991.23 / $1,991.23 / $33,820.62	Facility		$1,991.23	$1,991.23	$33,820.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,991.23 / $1,991.23 / $29,868.45	Professional		$1,991.23	$1,991.23	$29,868.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.32 / $1.32	Professional		$1.12	$1.32	$1.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.49 / $2,532.77 / $4,369.28	Professional		$1,808.49	$2,532.77	$4,369.28