Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $4,629.88 / $6,076.80	Facility		$2,318.00	$4,629.88	$6,076.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,024.29 / $4,629.88 / $5,974.04	Professional		$4,024.29	$4,629.88	$5,974.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.30 / $15,205.00 / $25,750.00	Facility		$2,234.30	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,787.44 / $2,234.30 / $3,403.26	Professional		$1,787.44	$2,234.30	$3,403.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,667.65 / $4,674.46 / $5,393.61	Facility		$3,667.65	$4,674.46	$5,393.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,775.53 / $4,314.89 / $5,393.61	Professional		$3,775.53	$4,314.89	$5,393.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.83 / $3,555.58 / $8,625.26	Professional		$1,755.83	$3,555.58	$8,625.26
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 $1,705.65 / $4,418.81 / $7,557.22	Professional		$1,705.65	$4,418.81	$7,557.22