Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.23 / $2,054.54 / $4,846.00	Facility		$1,894.23	$2,054.54	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,716.80 / $1,926.15 / $2,589.06	Professional		$1,716.80	$1,926.15	$2,589.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $23,175.52 / $32,252.00	Facility		$5,778.00	$23,175.52	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,915.71 / $3,226.30 / $4,355.50	Professional		$1,915.71	$3,226.30	$4,355.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,877.30 / $2,576.69 / $3,865.04	Facility		$1,877.30	$2,576.69	$3,865.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,840.49 / $2,300.61 / $3,312.89	Professional		$1,840.49	$2,300.61	$3,312.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.42 / $3,041.81 / $4,772.51	Professional		$2,099.42	$3,041.81	$4,772.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.20 / $2,399.78 / $4,226.30	Professional		$1,737.20	$2,399.78	$4,226.30