Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,383.70 / $10,985.00	Facility		$1,386.00	$3,383.70	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.36 / $2,258.41 / $2,804.99	Professional		$1,944.36	$2,258.41	$2,804.99
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 $1,603.91 / $2,664.65 / $3,677.21	Professional		$1,603.91	$2,664.65	$3,677.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,002.19 / $2,212.42 / $2,502.73	Facility		$2,002.19	$2,212.42	$2,502.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.18 / $2,526.92 / $3,827.08	Professional		$1,961.18	$2,526.92	$3,827.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,161.00 / $13,735.00 / $19,477.00	Facility		$6,161.00	$13,735.00	$19,477.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,776.97 / $2,345.11 / $4,335.88	Professional		$1,776.97	$2,345.11	$4,335.88