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 / $14,063.00	Facility		$1,386.00	$3,500.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,127.33 / $2,358.90 / $3,188.00	Professional		$2,127.33	$2,358.90	$3,188.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $23,175.52 / $32,252.00	Facility		$5,778.00	$23,175.52	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,196.94 / $3,551.70 / $4,794.79	Professional		$2,196.94	$3,551.70	$4,794.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,198.73 / $2,858.36 / $3,298.11	Facility		$2,198.73	$2,858.36	$3,298.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,198.73 / $2,638.49 / $3,298.11	Professional		$2,198.73	$2,638.49	$3,298.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,395.21 / $3,129.73 / $5,221.89	Professional		$2,395.21	$3,129.73	$5,221.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,049.60 / $2,710.00 / $4,835.72	Professional		$2,049.60	$2,710.00	$4,835.72