Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,966.88 / $14,063.00	Facility		$1,386.00	$2,966.88	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.75 / $1,851.23 / $2,474.92	Professional		$1,755.75	$1,851.23	$2,474.92
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 $1,755.55 / $2,519.50 / $3,476.91	Professional		$1,755.55	$2,519.50	$3,476.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,755.55 / $2,282.21 / $2,633.33	Facility		$1,755.55	$2,282.21	$2,633.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,755.55 / $2,053.10 / $2,633.33	Professional		$1,755.55	$2,053.10	$2,633.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.24 / $2,575.55 / $4,192.07	Professional		$1,967.24	$2,575.55	$4,192.07
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 $1,678.64 / $2,202.69 / $3,973.61	Professional		$1,678.64	$2,202.69	$3,973.61