Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,500.00 / $5,321.13	Facility		$2,318.00	$3,500.00	$5,321.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,163.98 / $3,576.97 / $4,797.70	Professional		$3,163.98	$3,576.97	$4,797.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $7,572.00 / $18,942.00	Facility		$1,153.00	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,093.12 / $3,866.40 / $5,335.63	Professional		$3,093.12	$3,866.40	$5,335.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,148.60 / $4,093.18 / $4,722.89	Facility		$3,148.60	$4,093.18	$4,722.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,148.60 / $3,613.02 / $4,722.89	Professional		$3,148.60	$3,613.02	$4,722.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,081.92 / $6,491.32 / $15,976.63	Professional		$4,081.92	$6,491.32	$15,976.63
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 $3,113.84 / $3,889.03 / $6,550.76	Professional		$3,113.84	$3,889.03	$6,550.76