Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.80 / $2,078.02 / $4,846.00	Facility		$1,662.80	$2,078.02	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,662.80 / $1,719.84 / $2,241.98	Professional		$1,662.80	$1,719.84	$2,241.98
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 $1,975.44 / $2,469.30 / $3,407.63	Professional		$1,975.44	$2,469.30	$3,407.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,989.77 / $2,713.32 / $4,069.98	Facility		$1,989.77	$2,713.32	$4,069.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,899.32 / $2,351.54 / $3,255.99	Professional		$1,899.32	$2,351.54	$3,255.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,080.13 / $2,548.98 / $4,306.13	Professional		$2,080.13	$2,548.98	$4,306.13
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 $1,928.25 / $2,408.65 / $3,593.55	Professional		$1,928.25	$2,408.65	$3,593.55