Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,654.90 / $16,042.00	Facility		$1,386.00	$2,654.90	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,185.79 / $2,212.42 / $2,553.53	Professional		$2,185.79	$2,212.42	$2,553.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $10,284.00 / $16,778.00	Facility		$3,536.00	$10,284.00	$16,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $1,240.00 / $1,674.00	Professional		$1,054.00	$1,240.00	$1,674.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,626.54 / $4,635.08 / $17,219.81	Facility		$2,626.54	$4,635.08	$17,219.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,333.69 / $4,278.53 / $4,456.80	Professional		$3,333.69	$4,278.53	$4,456.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,623.15 / $2,623.15 / $2,623.15	Facility		$2,623.15	$2,623.15	$2,623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.26 / $2,923.80 / $4,088.85	Professional		$2,187.26	$2,923.80	$4,088.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,086.88 / $2,679.55 / $4,154.95	Professional		$2,086.88	$2,679.55	$4,154.95