Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.11 / $1,795.90 / $4,846.00	Facility		$1,719.11	$1,795.90	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.55 / $1,795.90 / $2,317.29	Professional		$1,550.55	$1,795.90	$2,317.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,446.00 / $24,138.89 / $33,175.44	Facility		$7,446.00	$24,138.89	$33,175.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,665.34 / $2,124.60 / $2,931.94	Professional		$1,665.34	$2,124.60	$2,931.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,425.60 / $1,816.95 / $2,096.48	Facility		$1,425.60	$1,816.95	$2,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,425.60 / $1,607.30 / $2,096.48	Professional		$1,425.60	$1,607.30	$2,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.95 / $2,175.48 / $3,914.80	Professional		$1,589.95	$2,175.48	$3,914.80
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 $1,511.52 / $1,986.50 / $3,050.72	Professional		$1,511.52	$1,986.50	$3,050.72