Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $5,728.30 / $7,954.00	Facility		$2,318.00	$5,728.30	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,181.93 / $5,728.30 / $8,468.26	Professional		$5,181.93	$5,728.30	$8,468.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,085.00 / $18,927.70 / $28,794.00	Facility		$6,085.00	$18,927.70	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,976.11 / $4,677.78 / $6,642.44	Professional		$3,976.11	$4,677.78	$6,642.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,106.64 / $6,508.48 / $7,509.78	Facility		$5,106.64	$6,508.48	$7,509.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,006.52 / $6,007.82 / $7,509.78	Professional		$5,006.52	$6,007.82	$7,509.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,609.97 / $7,050.41 / $12,381.96	Professional		$4,609.97	$7,050.41	$12,381.96
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 $4,813.52 / $6,423.29 / $10,446.68	Professional		$4,813.52	$6,423.29	$10,446.68