Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.76 / $1,733.93 / $4,846.00	Facility		$1,657.76	$1,733.93	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.43 / $1,733.93 / $2,237.33	Professional		$1,499.43	$1,733.93	$2,237.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,674.80 / $15,205.00 / $25,750.00	Facility		$1,674.80	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.84 / $1,674.80 / $2,311.21	Professional		$1,339.84	$1,674.80	$2,311.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,374.73 / $1,752.10 / $2,021.66	Facility		$1,374.73	$1,752.10	$2,021.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,415.16 / $1,617.32 / $2,021.66	Professional		$1,415.16	$1,617.32	$2,021.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,416.13 / $1,863.64 / $3,287.11	Professional		$1,416.13	$1,863.64	$3,287.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $5,660.00 / $11,929.00	Facility		$1,917.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.15 / $1,926.55 / $3,440.18	Professional		$1,381.15	$1,926.55	$3,440.18