Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,049.27 / $14,063.00	Facility		$1,386.00	$3,049.27	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.22 / $1,865.67 / $2,554.31	Professional		$1,667.22	$1,865.67	$2,554.31
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 $1,399.04 / $2,073.90 / $2,861.98	Professional		$1,399.04	$2,073.90	$2,861.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,840.39 / $2,526.02 / $3,789.03	Facility		$1,840.39	$2,526.02	$3,789.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,804.30 / $2,255.38 / $3,247.74	Professional		$1,804.30	$2,255.38	$3,247.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,658.00 / $2,362.07 / $4,078.99	Professional		$1,658.00	$2,362.07	$4,078.99
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 $1,645.74 / $2,123.15 / $3,927.83	Professional		$1,645.74	$2,123.15	$3,927.83