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 $2,419.03 / $2,664.96 / $3,535.90	Professional		$2,419.03	$2,664.96	$3,535.90
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 $2,080.83 / $2,448.04 / $3,634.94	Professional		$2,080.83	$2,448.04	$3,634.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,545.10 / $3,308.63 / $3,817.65	Facility		$2,545.10	$3,308.63	$3,817.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,545.10 / $3,054.12 / $3,817.65	Professional		$2,545.10	$3,054.12	$3,817.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,761.72 / $3,503.23 / $5,854.11	Professional		$2,761.72	$3,503.23	$5,854.11
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 $2,330.29 / $3,109.13 / $5,519.53	Professional		$2,330.29	$3,109.13	$5,519.53