Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.13 / $1,866.16 / $4,846.00	Facility		$1,674.13	$1,866.16	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.91 / $1,674.13 / $2,098.14	Professional		$1,622.91	$1,674.13	$2,098.14
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 $1,843.65 / $2,467.40 / $3,405.01	Professional		$1,843.65	$2,467.40	$3,405.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,569.55 / $2,000.40 / $2,308.16	Facility		$1,569.55	$2,000.40	$2,308.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,538.77 / $1,846.52 / $2,308.16	Professional		$1,538.77	$1,846.52	$2,308.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,753.85 / $2,382.32 / $3,673.61	Professional		$1,753.85	$2,382.32	$3,673.61
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 $1,662.60 / $2,047.51 / $3,301.42	Professional		$1,662.60	$2,047.51	$3,301.42