Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,086.48 / $16,042.00	Facility		$1,386.00	$3,086.48	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,769.58 / $2,015.76 / $2,565.19	Professional		$1,769.58	$2,015.76	$2,565.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,250.30 / $10,338.00 / $26,304.00	Facility		$2,250.30	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,502.73 / $2,250.30 / $3,105.41	Professional		$1,502.73	$2,250.30	$3,105.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,826.32 / $2,374.21 / $2,739.48	Facility		$1,826.32	$2,374.21	$2,739.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,826.32 / $2,191.58 / $2,739.48	Professional		$1,826.32	$2,191.58	$2,739.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,849.28 / $2,446.26 / $3,834.10	Professional		$1,849.28	$2,446.26	$3,834.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,370.00 / $10,069.00 / $15,750.00	Facility		$4,370.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,599.27 / $2,169.26 / $3,896.98	Professional		$1,599.27	$2,169.26	$3,896.98