Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.31 / $2,091.76 / $4,846.00	Facility		$1,914.31	$2,091.76	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,743.13 / $1,914.31 / $2,370.09	Professional		$1,743.13	$1,914.31	$2,370.09
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 $1,485.08 / $1,833.80 / $2,530.64	Professional		$1,485.08	$1,833.80	$2,530.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,782.10 / $2,271.31 / $2,620.73	Facility		$1,782.10	$2,271.31	$2,620.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,747.16 / $2,009.23 / $2,620.73	Professional		$1,747.16	$2,009.23	$2,620.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.30 / $2,298.56 / $4,004.96	Professional		$1,534.30	$2,298.56	$4,004.96
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 $1,672.65 / $2,134.23 / $3,840.28	Professional		$1,672.65	$2,134.23	$3,840.28