Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,296.69 / $4,846.00	Facility		$1,386.00	$2,296.69	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,935.73 / $2,296.69 / $2,663.76	Professional		$1,935.73	$2,296.69	$2,663.76
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 $3,316.15 / $4,349.97 / $6,002.95	Professional		$3,316.15	$4,349.97	$6,002.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,425.49 / $2,145.07 / $2,538.63	Facility		$1,425.49	$2,145.07	$2,538.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,496.77 / $2,051.23 / $2,681.34	Professional		$1,496.77	$2,051.23	$2,681.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,881.85 / $2,637.33 / $11,576.09	Professional		$1,881.85	$2,637.33	$11,576.09
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 $1,673.41 / $2,289.67 / $3,611.03	Professional		$1,673.41	$2,289.67	$3,611.03