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 $2,839.55 / $3,182.50 / $4,248.64	Professional		$2,839.55	$3,182.50	$4,248.64
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 $2,436.63 / $4,269.30 / $5,891.63	Professional		$2,436.63	$4,269.30	$5,891.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,037.63 / $3,948.92 / $4,556.45	Facility		$3,037.63	$3,948.92	$4,556.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,037.63 / $3,584.15 / $4,556.45	Professional		$3,037.63	$3,584.15	$4,556.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,138.23 / $4,203.88 / $6,394.35	Professional		$3,138.23	$4,203.88	$6,394.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,674.75 / $3,574.00 / $6,318.95	Professional		$2,674.75	$3,574.00	$6,318.95