Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.69 / $2,318.00 / $4,846.00	Facility		$2,145.69	$2,318.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.25 / $2,145.69 / $2,656.56	Professional		$1,959.25	$2,145.69	$2,656.56
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 $1,665.26 / $2,039.20 / $2,814.09	Professional		$1,665.26	$2,039.20	$2,814.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,998.31 / $2,546.87 / $2,938.70	Facility		$1,998.31	$2,546.87	$2,938.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,959.13 / $2,272.46 / $2,938.70	Professional		$1,959.13	$2,272.46	$2,938.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.76 / $2,533.75 / $4,493.85	Professional		$1,692.76	$2,533.75	$4,493.85
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 $1,920.94 / $2,485.92 / $5,893.16	Professional		$1,920.94	$2,485.92	$5,893.16