Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,067.03 / $2,262.96 / $4,846.00	Facility		$2,067.03	$2,262.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.80 / $2,067.03 / $2,559.17	Professional		$1,885.80	$2,067.03	$2,559.17
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 $1,602.86 / $1,942.60 / $2,680.78	Professional		$1,602.86	$1,942.60	$2,680.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,923.43 / $2,451.44 / $2,828.58	Facility		$1,923.43	$2,451.44	$2,828.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,885.72 / $2,184.00 / $2,828.58	Professional		$1,885.72	$2,184.00	$2,828.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.56 / $2,445.46 / $4,330.59	Professional		$1,632.56	$2,445.46	$4,330.59
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 $1,852.53 / $2,332.01 / $3,713.71	Professional		$1,852.53	$2,332.01	$3,713.71