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 $2,362.07 / $2,632.97 / $3,554.51	Professional		$2,362.07	$2,632.97	$3,554.51
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 $2,447.63 / $3,730.40 / $5,059.84	Professional		$2,447.63	$3,730.40	$5,059.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,529.92 / $3,288.90 / $3,794.88	Facility		$2,529.92	$3,288.90	$3,794.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,529.92 / $2,967.67 / $3,794.88	Professional		$2,529.92	$2,967.67	$3,794.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,730.20 / $3,609.32 / $5,818.81	Professional		$2,730.20	$3,609.32	$5,818.81
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 $2,297.75 / $3,023.68 / $5,546.09	Professional		$2,297.75	$3,023.68	$5,546.09