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 $2,067.17 / $2,309.58 / $3,128.86	Professional		$2,067.17	$2,309.58	$3,128.86
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 $2,082.46 / $3,357.60 / $4,532.76	Professional		$2,082.46	$3,357.60	$4,532.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,218.73 / $2,884.36 / $3,328.11	Facility		$2,218.73	$2,884.36	$3,328.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,218.73 / $2,662.49 / $3,328.11	Professional		$2,218.73	$2,662.49	$3,328.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.16 / $3,114.55 / $5,052.82	Professional		$2,407.16	$3,114.55	$5,052.82
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 $2,023.66 / $2,677.45 / $4,739.38	Professional		$2,023.66	$2,677.45	$4,739.38