Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,236.72 / $14,063.00	Facility		$1,386.00	$3,236.72	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,785.09 / $1,941.48 / $2,702.06	Professional		$1,785.09	$1,941.48	$2,702.06
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 $1,966.80 / $2,458.50 / $3,392.73	Professional		$1,966.80	$2,458.50	$3,392.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,106.73 / $2,872.83 / $4,309.25	Facility		$2,106.73	$2,872.83	$4,309.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,010.98 / $2,489.79 / $3,447.39	Professional		$2,010.98	$2,489.79	$3,447.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,073.69 / $2,689.27 / $4,599.97	Professional		$2,073.69	$2,689.27	$4,599.97
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 $2,003.35 / $2,365.86 / $4,182.99	Professional		$2,003.35	$2,365.86	$4,182.99