Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,005.25 / $4,846.00	Facility		$1,386.00	$2,005.25	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,735.97 / $2,005.25 / $2,587.42	Professional		$1,735.97	$2,005.25	$2,587.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,205.00 / $25,750.00	Facility		$2,451.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,879.68 / $2,858.10 / $3,944.17	Professional		$1,879.68	$2,858.10	$3,944.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,593.89 / $2,031.43 / $2,343.96	Facility		$1,593.89	$2,031.43	$2,343.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,640.77 / $1,875.17 / $2,343.96	Professional		$1,640.77	$1,875.17	$2,343.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.85 / $2,639.44 / $6,576.21	Professional		$1,778.85	$2,639.44	$6,576.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,685.28 / $2,163.83 / $3,418.44	Professional		$1,685.28	$2,163.83	$3,418.44