Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,854.98 / $4,846.00	Facility		$1,776.27	$1,854.98	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,601.16 / $1,854.98 / $2,393.53	Professional		$1,601.16	$1,854.98	$2,393.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $32,251.00 / $57,499.79	Facility		$3,650.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,741.57 / $2,591.69 / $3,576.54	Professional		$1,741.57	$2,591.69	$3,576.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,473.00 / $1,877.36 / $2,166.17	Facility		$1,473.00	$1,877.36	$2,166.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,516.33 / $1,732.94 / $2,166.17	Professional		$1,516.33	$1,732.94	$2,166.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.55 / $2,256.17 / $5,987.96	Professional		$1,645.55	$2,256.17	$5,987.96
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 $1,560.72 / $2,120.17 / $3,246.30	Professional		$1,560.72	$2,120.17	$3,246.30