Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.26 / $1,855.98 / $4,846.00	Facility		$1,776.26	$1,855.98	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.24 / $1,855.98 / $2,394.81	Professional		$1,602.24	$1,855.98	$2,394.81
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 $1,730.01 / $2,765.70 / $3,816.66	Professional		$1,730.01	$2,765.70	$3,816.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,472.99 / $1,949.55 / $2,166.17	Facility		$1,472.99	$1,949.55	$2,166.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,516.32 / $1,660.73 / $2,166.17	Professional		$1,516.32	$1,660.73	$2,166.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.43 / $2,384.01 / $4,290.05	Professional		$1,646.43	$2,384.01	$4,290.05
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 $1,561.56 / $2,015.99 / $3,248.04	Professional		$1,561.56	$2,015.99	$3,248.04