Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,487.55 / $14,063.00	Facility		$1,386.00	$3,487.55	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,921.83 / $2,147.21 / $2,908.25	Professional		$1,921.83	$2,147.21	$2,908.25
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 $1,663.34 / $1,956.88 / $2,826.50	Professional		$1,663.34	$1,956.88	$2,826.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,063.64 / $2,682.73 / $3,095.46	Facility		$2,063.64	$2,682.73	$3,095.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,063.64 / $2,476.37 / $3,095.46	Professional		$2,063.64	$2,476.37	$3,095.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.28 / $2,895.56 / $4,746.37	Professional		$2,238.28	$2,895.56	$4,746.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,069.00 / $15,750.00	Facility		$4,472.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.80 / $2,543.36 / $4,485.99	Professional		$1,905.80	$2,543.36	$4,485.99