Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,689.64 / $10,985.00	Facility		$1,386.00	$2,689.64	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.83 / $1,780.34 / $2,217.98	Professional		$1,550.83	$1,780.34	$2,217.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $33,765.49 / $49,433.26	Facility		$4,800.00	$33,765.49	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.35 / $2,113.30 / $2,916.35	Professional		$1,487.35	$2,113.30	$2,916.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,591.50 / $2,068.94 / $2,387.25	Facility		$1,591.50	$2,068.94	$2,387.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,591.50 / $1,909.80 / $2,387.25	Professional		$1,591.50	$1,909.80	$2,387.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.47 / $2,123.17 / $3,557.00	Professional		$1,711.47	$2,123.17	$3,557.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.14 / $1,976.05 / $3,550.05	Professional		$1,427.14	$1,976.05	$3,550.05