Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $4,846.00 / $33,758.58	Facility		$1,494.00	$4,846.00	$33,758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.01 / $1,628.99 / $2,224.82	Professional		$1,475.01	$1,628.99	$2,224.82
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 $1,358.69 / $1,866.72 / $2,520.07	Professional		$1,358.69	$1,866.72	$2,520.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,565.73 / $2,035.45 / $2,348.60	Facility		$1,565.73	$2,035.45	$2,348.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,565.73 / $1,878.88 / $2,348.60	Professional		$1,565.73	$1,878.88	$2,348.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.28 / $1,933.77 / $3,292.32	Professional		$1,501.28	$1,933.77	$3,292.32
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 $1,428.58 / $1,851.40 / $3,373.56	Professional		$1,428.58	$1,851.40	$3,373.56