Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $4,846.00 / $6,991.33	Facility		$2,318.00	$4,846.00	$6,991.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,316.68 / $4,696.81 / $6,299.86	Professional		$4,316.68	$4,696.81	$6,299.86
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 $4,113.28 / $5,141.60 / $7,095.40	Professional		$4,113.28	$5,141.60	$7,095.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,136.88 / $5,377.94 / $6,205.32	Facility		$4,136.88	$5,377.94	$6,205.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,136.88 / $4,757.41 / $6,205.32	Professional		$4,136.88	$4,757.41	$6,205.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $5,349.05	Facility		$761.00	$761.00	$5,349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,336.47 / $5,474.25 / $9,208.00	Professional		$4,336.47	$5,474.25	$9,208.00
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 $4,116.33 / $5,108.21 / $8,966.23	Professional		$4,116.33	$5,108.21	$8,966.23