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 $2,292.48 / $2,571.77 / $3,415.41	Professional		$2,292.48	$2,571.77	$3,415.41
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 $2,151.54 / $3,276.40 / $4,521.43	Professional		$2,151.54	$3,276.40	$4,521.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,457.33 / $3,194.53 / $3,686.00	Facility		$2,457.33	$3,194.53	$3,686.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,457.33 / $2,911.37 / $3,686.00	Professional		$2,457.33	$2,911.37	$3,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,550.44 / $3,273.19 / $5,053.21	Professional		$2,550.44	$3,273.19	$5,053.21
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 $2,198.31 / $2,995.08 / $5,215.14	Professional		$2,198.31	$2,995.08	$5,215.14