Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,991.57 / $14,063.00	Facility		$1,386.00	$2,991.57	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,649.37 / $1,795.47 / $2,498.86	Professional		$1,649.37	$1,795.47	$2,498.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,338.00 / $26,304.00	Facility		$2,310.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.88 / $2,328.60 / $3,213.46	Professional		$1,862.88	$2,328.60	$3,213.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,880.80 / $2,655.24 / $3,982.86	Facility		$1,880.80	$2,655.24	$3,982.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,858.67 / $2,301.21 / $3,186.29	Professional		$1,858.67	$2,301.21	$3,186.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,917.93 / $2,513.28 / $4,226.81	Professional		$1,917.93	$2,513.28	$4,226.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,529.00 / $10,069.00 / $15,750.00	Facility		$4,529.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,848.95 / $2,230.26 / $3,898.95	Professional		$1,848.95	$2,230.26	$3,898.95