Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.71 / $1,901.22 / $4,846.00	Facility		$1,719.71	$1,901.22	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.35 / $1,719.71 / $2,393.42	Professional		$1,584.35	$1,719.71	$2,393.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,255.00 / $10,338.00 / $26,304.00	Facility		$2,255.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,804.00 / $2,255.00 / $3,111.90	Professional		$1,804.00	$2,255.00	$3,111.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,804.43 / $2,547.42 / $3,821.13	Facility		$1,804.43	$2,547.42	$3,821.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,783.19 / $2,207.76 / $3,056.91	Professional		$1,783.19	$2,207.76	$3,056.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,837.68 / $2,411.96 / $4,033.34	Professional		$1,837.68	$2,411.96	$4,033.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,794.99 / $2,133.23 / $3,727.22	Professional		$1,794.99	$2,133.23	$3,727.22