Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,520.87 / $14,063.00	Facility		$1,386.00	$3,520.87	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,181.92 / $3,567.55 / $4,753.17	Professional		$3,181.92	$3,567.55	$4,753.17
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 $2,981.55 / $4,851.30 / $6,694.79	Professional		$2,981.55	$4,851.30	$6,694.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,465.78 / $4,756.95 / $7,135.43	Facility		$3,465.78	$4,756.95	$7,135.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,397.82 / $4,077.38 / $6,116.07	Professional		$3,397.82	$4,077.38	$6,116.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,601.83 / $4,759.39 / $7,722.51	Professional		$3,601.83	$4,759.39	$7,722.51
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 $3,046.51 / $4,114.96 / $7,215.01	Professional		$3,046.51	$4,114.96	$7,215.01