Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,634.47 / $14,063.00	Facility		$1,386.00	$2,634.47	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.23 / $1,616.43 / $2,188.21	Professional		$1,459.23	$1,616.43	$2,188.21
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 $1,432.31 / $2,111.40 / $2,913.73	Professional		$1,432.31	$2,111.40	$2,913.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,558.86 / $2,026.52 / $2,338.29	Facility		$1,558.86	$2,026.52	$2,338.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,558.86 / $1,870.63 / $2,338.29	Professional		$1,558.86	$1,870.63	$2,338.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.48 / $2,154.12 / $3,554.64	Professional		$1,689.48	$2,154.12	$3,554.64
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 $1,413.90 / $1,890.13 / $3,465.79	Professional		$1,413.90	$1,890.13	$3,465.79