Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,989.34 / $2,080.78 / $4,846.00	Facility		$1,989.34	$2,080.78	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.65 / $2,080.78 / $2,748.76	Professional		$1,798.65	$2,080.78	$2,748.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,205.00 / $25,750.00	Facility		$2,451.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.82 / $2,490.40 / $3,436.75	Professional		$1,929.82	$2,490.40	$3,436.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,649.70 / $2,102.56 / $2,426.03	Facility		$1,649.70	$2,102.56	$2,426.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.22 / $1,940.82 / $2,426.03	Professional		$1,698.22	$1,940.82	$2,426.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.15 / $2,558.53 / $5,076.76	Professional		$1,812.15	$2,558.53	$5,076.76
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 $1,753.63 / $2,274.64 / $3,534.64	Professional		$1,753.63	$2,274.64	$3,534.64