Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,985.07 / $2,220.34 / $4,846.00	Facility		$1,985.07	$2,220.34	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,850.28 / $1,985.07 / $2,457.69	Professional		$1,850.28	$1,985.07	$2,457.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $17,895.78 / $25,253.12	Facility		$5,091.00	$17,895.78	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,626.88 / $2,033.60 / $2,806.36	Professional		$1,626.88	$2,033.60	$2,806.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,926.39 / $2,719.61 / $4,079.42	Facility		$1,926.39	$2,719.61	$4,079.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,903.72 / $2,356.98 / $3,263.52	Professional		$1,903.72	$2,356.98	$3,263.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.02 / $2,375.63 / $4,230.22	Professional		$1,604.02	$2,375.63	$4,230.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,755.33 / $2,216.42 / $3,576.52	Professional		$1,755.33	$2,216.42	$3,576.52