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 / $14,063.00	Facility		$1,386.00	$3,500.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,731.81 / $3,062.13 / $4,085.45	Professional		$2,731.81	$3,062.13	$4,085.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,436.76 / $4,122.50 / $5,689.05	Professional		$2,436.76	$4,122.50	$5,689.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,977.41 / $4,086.64 / $6,129.96	Facility		$2,977.41	$4,086.64	$6,129.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,919.03 / $3,502.84 / $5,254.26	Professional		$2,919.03	$3,502.84	$5,254.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,072.71 / $3,906.63 / $6,205.76	Professional		$3,072.71	$3,906.63	$6,205.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,571.81 / $3,412.63 / $6,040.36	Professional		$2,571.81	$3,412.63	$6,040.36