Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,103.80 / $4,846.00	Facility		$1,386.00	$2,103.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,773.12 / $2,103.80 / $2,439.98	Professional		$1,773.12	$2,103.80	$2,439.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,300.50 / $15,205.00 / $25,750.00	Facility		$2,300.50	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.18 / $2,300.50 / $3,174.69	Professional		$1,771.18	$2,300.50	$3,174.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,646.82 / $2,098.89 / $2,823.75	Facility		$1,646.82	$2,098.89	$2,823.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,646.82 / $1,937.44 / $2,964.94	Professional		$1,646.82	$1,937.44	$2,964.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.67 / $2,442.80 / $11,941.53	Professional		$1,723.67	$2,442.80	$11,941.53
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 $1,503.04 / $2,014.39 / $3,393.27	Professional		$1,503.04	$2,014.39	$3,393.27