Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,755.16 / $14,063.00	Facility		$1,386.00	$2,755.16	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.34 / $1,720.68 / $2,301.15	Professional		$1,630.34	$1,720.68	$2,301.15
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 $1,609.00 / $2,413.00 / $3,260.54	Professional		$1,609.00	$2,413.00	$3,260.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,630.27 / $2,119.35 / $2,445.41	Facility		$1,630.27	$2,119.35	$2,445.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,630.27 / $1,906.22 / $2,445.41	Professional		$1,630.27	$1,906.22	$2,445.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.94 / $2,390.86 / $3,965.72	Professional		$1,782.94	$2,390.86	$3,965.72
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 $1,560.03 / $2,066.67 / $3,619.44	Professional		$1,560.03	$2,066.67	$3,619.44