Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,097.58 / $14,063.00	Facility		$1,386.00	$3,097.58	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,710.53 / $1,895.77 / $2,566.73	Professional		$1,710.53	$1,895.77	$2,566.73
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 $1,571.61 / $1,896.11 / $2,684.09	Professional		$1,571.61	$1,896.11	$2,684.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,832.89 / $2,382.76 / $2,749.34	Facility		$1,832.89	$2,382.76	$2,749.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,832.89 / $2,016.18 / $2,749.34	Professional		$1,832.89	$2,016.18	$2,749.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.32 / $2,459.89 / $4,170.39	Professional		$1,922.32	$2,459.89	$4,170.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,370.00 / $10,069.00 / $15,750.00	Facility		$4,370.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,657.01 / $2,210.04 / $3,928.35	Professional		$1,657.01	$2,210.04	$3,928.35