Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,207.40 / $14,063.00	Facility		$1,386.00	$3,207.40	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.84 / $1,972.70 / $2,671.83	Professional		$1,765.84	$1,972.70	$2,671.83
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 $1,742.45 / $2,739.40 / $3,780.37	Professional		$1,742.45	$2,739.40	$3,780.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.87 / $2,467.23 / $2,846.81	Facility		$1,897.87	$2,467.23	$2,846.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,897.87 / $2,277.44 / $2,846.81	Professional		$1,897.87	$2,277.44	$2,846.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,033.06 / $2,661.52 / $4,283.27	Professional		$2,033.06	$2,661.52	$4,283.27
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 $1,726.27 / $2,295.98 / $4,128.16	Professional		$1,726.27	$2,295.98	$4,128.16