Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,428.34 / $14,063.00	Facility		$1,386.00	$2,428.34	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.99 / $1,492.21 / $2,014.48	Professional		$1,315.99	$1,492.21	$2,014.48
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 $1,392.45 / $1,904.10 / $2,627.65	Professional		$1,392.45	$1,904.10	$2,627.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,436.89 / $1,867.96 / $2,155.34	Facility		$1,436.89	$1,867.96	$2,155.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,436.89 / $1,724.27 / $2,155.34	Professional		$1,436.89	$1,724.27	$2,155.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,004.73 / $3,304.85	Professional		$1,512.00	$2,004.73	$3,304.85
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 $1,331.75 / $1,731.11 / $3,109.28	Professional		$1,331.75	$1,731.11	$3,109.28