Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,274.96 / $4,846.00	Facility		$2,318.00	$3,274.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.38 / $3,095.54 / $4,280.16	Professional		$2,650.38	$3,095.54	$4,280.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $16,821.03 / $25,253.12	Facility		$4,838.00	$16,821.03	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,729.13 / $3,745.90 / $5,069.67	Professional		$2,729.13	$3,745.90	$5,069.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,729.13 / $3,547.87 / $4,093.70	Facility		$2,729.13	$3,547.87	$4,093.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,729.13 / $3,274.96 / $4,093.70	Professional		$2,729.13	$3,274.96	$4,093.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,539.93	Facility		$761.00	$761.00	$3,539.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,975.34 / $3,758.72 / $5,911.93	Professional		$2,975.34	$3,758.72	$5,911.93
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,595.07 / $3,280.67 / $5,849.93	Professional		$2,595.07	$3,280.67	$5,849.93