Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.78 / $1,814.65 / $4,846.00	Facility		$1,552.78	$1,814.65	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.21 / $1,552.78 / $1,946.01	Professional		$1,512.21	$1,552.78	$1,946.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.10 / $24,214.00 / $45,778.00	Facility		$2,238.10	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,690.65 / $2,238.10 / $3,088.57	Professional		$1,690.65	$2,238.10	$3,088.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,456.36 / $1,856.14 / $2,141.69	Facility		$1,456.36	$1,856.14	$2,141.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,427.80 / $1,713.36 / $2,141.69	Professional		$1,427.80	$1,713.36	$2,141.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.16 / $2,187.76 / $3,384.10	Professional		$1,581.16	$2,187.76	$3,384.10
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 $1,542.57 / $1,949.29 / $3,066.14	Professional		$1,542.57	$1,949.29	$3,066.14