Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,891.81 / $4,846.00	Facility		$1,386.00	$1,891.81	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.43 / $1,891.81 / $2,194.08	Professional		$1,594.43	$1,891.81	$2,194.08
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 $2,162.85 / $2,851.07 / $3,934.47	Professional		$2,162.85	$2,851.07	$3,934.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,499.52 / $1,837.65 / $2,205.17	Facility		$1,499.52	$1,837.65	$2,205.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,543.63 / $1,764.14 / $2,205.17	Professional		$1,543.63	$1,764.14	$2,205.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.58 / $2,097.77 / $8,200.81	Professional		$1,549.58	$2,097.77	$8,200.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,735.00 / $10,926.00	Facility		$1,987.00	$5,735.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,558.68 / $2,009.71 / $2,980.20	Professional		$1,558.68	$2,009.71	$2,980.20