Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,290.58 / $14,063.00	Facility		$1,386.00	$3,290.58	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.20 / $2,026.01 / $2,744.38	Professional		$1,947.20	$2,026.01	$2,744.38
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 $1,938.98 / $2,813.50 / $3,882.63	Professional		$1,938.98	$2,813.50	$3,882.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,947.09 / $2,531.21 / $2,920.64	Facility		$1,947.09	$2,531.21	$2,920.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,947.09 / $2,336.51 / $2,920.64	Professional		$1,947.09	$2,336.51	$2,920.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,185.32 / $2,836.42 / $4,704.85	Professional		$2,185.32	$2,836.42	$4,704.85
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 $1,779.03 / $2,443.61 / $4,267.59	Professional		$1,779.03	$2,443.61	$4,267.59