Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.55 / $2,060.78 / $4,846.00	Facility		$1,887.55	$2,060.78	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.32 / $1,887.55 / $2,336.96	Professional		$1,717.32	$1,887.55	$2,336.96
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 $1,519.92 / $1,899.90 / $2,621.86	Professional		$1,519.92	$1,899.90	$2,621.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,757.18 / $2,239.55 / $2,584.10	Facility		$1,757.18	$2,239.55	$2,584.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,722.73 / $2,067.28 / $2,584.10	Professional		$1,722.73	$2,067.28	$2,584.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,532.09 / $2,293.69 / $3,946.72	Professional		$1,532.09	$2,293.69	$3,946.72
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 $1,727.56 / $2,104.32 / $3,385.20	Professional		$1,727.56	$2,104.32	$3,385.20