Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.71 / $1,698.60 / $4,846.00	Facility		$1,629.71	$1,698.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.14 / $1,698.60 / $2,025.25	Professional		$1,360.14	$1,698.60	$2,025.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,419.10 / $24,214.00 / $45,778.00	Facility		$2,419.10	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,518.00 / $2,419.10 / $3,338.35	Professional		$1,518.00	$2,419.10	$3,338.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,351.47 / $1,722.46 / $1,987.46	Facility		$1,351.47	$1,722.46	$1,987.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,391.22 / $1,589.96 / $1,987.46	Professional		$1,391.22	$1,589.96	$1,987.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.83 / $2,181.09 / $5,582.49	Professional		$1,506.83	$2,181.09	$5,582.49
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 $1,425.43 / $1,846.44 / $2,885.43	Professional		$1,425.43	$1,846.44	$2,885.43