Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,924.06 / $11,093.00	Facility		$1,386.00	$1,924.06	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.29 / $1,693.33 / $2,015.87	Professional		$1,497.29	$1,693.33	$2,015.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,627.56 / $2,094.03 / $2,889.76	Professional		$1,627.56	$2,094.03	$2,889.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $2,033.56 / $2,346.42	Facility		$1,595.57	$2,033.56	$2,346.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.28 / $1,798.92 / $2,346.42	Professional		$1,564.28	$1,798.92	$2,346.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.00 / $2,009.40 / $3,467.07	Professional		$1,579.00	$2,009.40	$3,467.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,533.76 / $1,904.84 / $3,023.09	Professional		$1,533.76	$1,904.84	$3,023.09