Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.95 / $1,857.61 / $4,846.00	Facility		$1,677.95	$1,857.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.01 / $1,702.06 / $2,288.12	Professional		$1,548.01	$1,702.06	$2,288.12
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 $1,695.77 / $2,814.90 / $3,884.56	Professional		$1,695.77	$2,814.90	$3,884.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,664.92 / $2,285.17 / $3,427.77	Facility		$1,664.92	$2,285.17	$3,427.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,632.27 / $1,958.72 / $2,938.08	Professional		$1,632.27	$1,958.72	$2,938.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,865.03 / $2,836.48 / $4,412.93	Professional		$1,865.03	$2,836.48	$4,412.93
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 $1,497.64 / $2,089.73 / $3,671.05	Professional		$1,497.64	$2,089.73	$3,671.05