Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,862.99 / $4,846.00	Facility		$1,386.00	$3,862.99	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,363.44 / $3,862.99 / $4,984.50	Professional		$3,363.44	$3,862.99	$4,984.50
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 $3,403.16 / $4,253.95 / $5,870.45	Professional		$3,403.16	$4,253.95	$5,870.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,057.51 / $3,896.83 / $4,496.34	Facility		$3,057.51	$3,896.83	$4,496.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,057.51 / $3,597.07 / $4,496.34	Professional		$3,057.51	$3,597.07	$4,496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,317.62 / $4,646.55 / $9,503.86	Professional		$3,317.62	$4,646.55	$9,503.86
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 $3,272.87 / $4,325.96 / $6,648.40	Professional		$3,272.87	$4,325.96	$6,648.40