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 $2,218.23 / $2,486.69 / $3,316.58	Professional		$2,218.23	$2,486.69	$3,316.58
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 $2,062.61 / $3,328.00 / $4,592.64	Professional		$2,062.61	$3,328.00	$4,592.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,395.60 / $3,114.28 / $3,593.40	Facility		$2,395.60	$3,114.28	$3,593.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,395.60 / $2,874.72 / $3,593.40	Professional		$2,395.60	$2,874.72	$3,593.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,451.52 / $3,263.08 / $5,150.29	Professional		$2,451.52	$3,263.08	$5,150.29
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 $2,081.46 / $2,883.63 / $5,282.93	Professional		$2,081.46	$2,883.63	$5,282.93