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 / $16,042.00	Facility		$1,386.00	$3,500.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,402.17 / $2,632.87 / $3,539.58	Professional		$2,402.17	$2,632.87	$3,539.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $33,765.49 / $49,433.26	Facility		$4,800.00	$33,765.49	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,789.93 / $2,105.80 / $2,990.23	Professional		$1,789.93	$2,105.80	$2,990.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,503.98 / $3,255.19 / $3,755.99	Facility		$2,503.98	$3,255.19	$3,755.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,503.98 / $3,004.79 / $3,755.99	Professional		$2,503.98	$3,004.79	$3,755.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,495.44 / $3,280.55 / $5,622.46	Professional		$2,495.44	$3,280.55	$5,622.46
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 $2,284.55 / $3,131.87 / $5,437.02	Professional		$2,284.55	$3,131.87	$5,437.02