Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.42 / $1,858.38 / $4,846.00	Facility		$1,781.42	$1,858.38	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.69 / $1,858.38 / $2,474.86	Professional		$1,547.69	$1,858.38	$2,474.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $24,214.00 / $45,778.00	Facility		$2,575.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,735.84 / $2,937.80 / $4,054.16	Professional		$1,735.84	$2,937.80	$4,054.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.28 / $1,882.80 / $2,172.46	Facility		$1,477.28	$1,882.80	$2,172.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,477.28 / $1,665.56 / $2,172.46	Professional		$1,477.28	$1,665.56	$2,172.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.56 / $2,523.63 / $6,095.69	Professional		$1,648.56	$2,523.63	$6,095.69
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 $1,593.84 / $1,998.43 / $3,156.84	Professional		$1,593.84	$1,998.43	$3,156.84