Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.79 / $1,948.31 / $4,846.00	Facility		$1,864.79	$1,948.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,682.25 / $1,948.31 / $2,513.94	Professional		$1,682.25	$1,948.31	$2,513.94
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 $1,846.87 / $2,875.40 / $3,968.05	Professional		$1,846.87	$2,875.40	$3,968.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,546.41 / $1,970.92 / $2,274.14	Facility		$1,546.41	$1,970.92	$2,274.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,591.89 / $1,743.50 / $2,274.14	Professional		$1,591.89	$1,743.50	$2,274.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.34 / $2,367.60 / $6,382.91	Professional		$1,728.34	$2,367.60	$6,382.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,735.00 / $10,926.00	Facility		$1,987.00	$5,735.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,639.99 / $2,212.56 / $3,309.62	Professional		$1,639.99	$2,212.56	$3,309.62