Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,575.15 / $4,846.00	Facility		$2,318.00	$3,575.15	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,111.98 / $3,575.15 / $4,613.09	Professional		$3,111.98	$3,575.15	$4,613.09
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 $3,148.30 / $3,935.38 / $5,430.82	Professional		$3,148.30	$3,935.38	$5,430.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,830.26 / $3,607.19 / $4,162.14	Facility		$2,830.26	$3,607.19	$4,162.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,913.50 / $3,190.97 / $4,162.14	Professional		$2,913.50	$3,190.97	$4,162.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,071.87 / $4,298.01 / $8,792.03	Professional		$3,071.87	$4,298.01	$8,792.03
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 $3,027.69 / $4,003.16 / $6,150.58	Professional		$3,027.69	$4,003.16	$6,150.58