Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,500.00 / $10,985.00	Facility		$1,386.00	$3,500.00	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.83 / $1,907.57 / $2,377.98	Professional		$1,665.83	$1,907.57	$2,377.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $48,570.00 / $70,653.03	Facility		$4,800.00	$48,570.00	$70,653.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,574.54 / $2,421.00 / $3,340.98	Professional		$1,574.54	$2,421.00	$3,340.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,707.37 / $2,219.58 / $2,561.06	Facility		$1,707.37	$2,219.58	$2,561.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,707.37 / $2,048.84 / $2,561.06	Professional		$1,707.37	$2,048.84	$2,561.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.29 / $2,384.34 / $3,959.77	Professional		$1,884.29	$2,384.34	$3,959.77
United Facility/Professional Facility Modifier Low / Median / High Price $6,475.00 / $14,460.00 / $20,461.00	Facility		$6,475.00	$14,460.00	$20,461.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.53 / $2,085.05 / $3,771.60	Professional		$1,547.53	$2,085.05	$3,771.60