Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,389.73 / $14,063.00	Facility		$1,386.00	$2,389.73	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,463.77 / $1,976.09	Professional		$1,328.43	$1,463.77	$1,976.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $17,380.30 / $25,253.12	Facility		$4,838.00	$17,380.30	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.08 / $1,612.90 / $2,225.80	Professional		$1,239.08	$1,612.90	$2,225.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,414.04 / $1,838.25 / $2,121.06	Facility		$1,414.04	$1,838.25	$2,121.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,414.04 / $1,696.85 / $2,121.06	Professional		$1,414.04	$1,696.85	$2,121.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.99 / $1,887.02 / $3,252.28	Professional		$1,370.99	$1,887.02	$3,252.28
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 $1,293.82 / $1,632.69 / $2,959.62	Professional		$1,293.82	$1,632.69	$2,959.62