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 $2,368.64 / $2,657.75 / $3,525.81	Professional		$2,368.64	$2,657.75	$3,525.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.50 / $16,700.00 / $33,821.32	Facility		$3,645.50	$16,700.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,098.48 / $3,645.50 / $5,030.79	Professional		$2,098.48	$3,645.50	$5,030.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,537.01 / $3,298.11 / $3,805.52	Facility		$2,537.01	$3,298.11	$3,805.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,537.01 / $3,044.41 / $3,805.52	Professional		$2,537.01	$3,044.41	$3,805.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,516.19 / $3,297.51 / $5,436.22	Professional		$2,516.19	$3,297.51	$5,436.22
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 $2,180.94 / $3,064.86 / $5,663.01	Professional		$2,180.94	$3,064.86	$5,663.01