Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.54 / $2,239.90 / $4,846.00	Facility		$1,789.54	$2,239.90	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.54 / $1,851.62 / $2,412.86	Professional		$1,789.54	$1,851.62	$2,412.86
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 $2,084.23 / $2,605.30 / $3,595.31	Professional		$2,084.23	$2,605.30	$3,595.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.23 / $2,919.84 / $4,379.76	Facility		$2,068.23	$2,919.84	$4,379.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,985.49 / $2,433.19 / $3,503.81	Professional		$1,985.49	$2,433.19	$3,503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,219.57 / $2,722.37 / $4,622.97	Professional		$2,219.57	$2,722.37	$4,622.97
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 $2,067.75 / $2,505.21 / $3,906.02	Professional		$2,067.75	$2,505.21	$3,906.02