Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.91 / $1,817.93 / $4,846.00	Facility		$1,460.91	$1,817.93	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.91 / $1,507.90 / $1,969.76	Professional		$1,460.91	$1,507.90	$1,969.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,446.00 / $21,000.00 / $28,558.98	Facility		$7,446.00	$21,000.00	$28,558.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,757.92 / $2,266.77 / $3,128.14	Professional		$1,757.92	$2,266.77	$3,128.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,752.49 / $2,389.76 / $3,584.64	Facility		$1,752.49	$2,389.76	$3,584.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,672.83 / $2,071.12 / $2,867.70	Professional		$1,672.83	$2,071.12	$2,867.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.61 / $2,226.14 / $3,958.18	Professional		$1,805.61	$2,226.14	$3,958.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,653.45 / $2,032.84 / $3,149.42	Professional		$1,653.45	$2,032.84	$3,149.42