Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.10 / $1,811.86 / $4,846.00	Facility		$1,735.10	$1,811.86	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.44 / $1,811.86 / $2,337.89	Professional		$1,563.44	$1,811.86	$2,337.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $17,625.00 / $37,128.00	Facility		$2,451.00	$17,625.00	$37,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,570.52 / $3,242.46 / $4,377.32	Professional		$1,570.52	$3,242.46	$4,377.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,438.86 / $1,833.85 / $2,115.98	Facility		$1,438.86	$1,833.85	$2,115.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,481.18 / $1,692.78 / $2,115.98	Professional		$1,481.18	$1,692.78	$2,115.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.90 / $2,067.98 / $4,280.05	Professional		$1,561.90	$2,067.98	$4,280.05
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 $1,525.67 / $2,001.91 / $3,099.24	Professional		$1,525.67	$2,001.91	$3,099.24