Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,330.53 / $10,985.00	Facility		$1,386.00	$3,330.53	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.60 / $2,061.53 / $2,751.40	Professional		$1,869.60	$2,061.53	$2,751.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $48,259.71 / $70,653.03	Facility		$5,778.00	$48,259.71	$70,653.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,916.87 / $2,851.50 / $3,935.07	Professional		$1,916.87	$2,851.50	$3,935.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,970.73 / $2,561.94 / $2,956.10	Facility		$1,970.73	$2,561.94	$2,956.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,970.73 / $2,177.66 / $2,956.10	Professional		$1,970.73	$2,177.66	$2,956.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,138.60 / $2,769.30 / $4,532.67	Professional		$2,138.60	$2,769.30	$4,532.67
United Facility/Professional Facility Modifier Low / Median / High Price $6,475.00 / $14,307.00 / $19,962.00	Facility		$6,475.00	$14,307.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,843.98 / $2,441.65 / $4,271.21	Professional		$1,843.98	$2,441.65	$4,271.21