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 $2,235.98 / $2,470.84 / $3,279.31	Professional		$2,235.98	$2,470.84	$3,279.31
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 $1,978.74 / $2,327.94 / $3,309.90	Professional		$1,978.74	$2,327.94	$3,309.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,358.67 / $3,066.27 / $3,538.01	Facility		$2,358.67	$3,066.27	$3,538.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,358.67 / $2,796.14 / $3,538.01	Professional		$2,358.67	$2,796.14	$3,538.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,617.00 / $3,285.59 / $5,411.62	Professional		$2,617.00	$3,285.59	$5,411.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,153.76 / $2,923.78 / $5,108.92	Professional		$2,153.76	$2,923.78	$5,108.92