Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.41 / $1,740.21 / $4,846.00	Facility		$1,665.41	$1,740.21	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.51 / $1,740.21 / $2,245.42	Professional		$1,502.51	$1,740.21	$2,245.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,526.50 / $24,214.00 / $45,778.00	Facility		$2,526.50	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.19 / $2,526.50 / $3,486.57	Professional		$1,623.19	$2,526.50	$3,486.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,381.07 / $1,760.19 / $2,030.99	Facility		$1,381.07	$1,760.19	$2,030.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,381.07 / $1,553.70 / $2,030.99	Professional		$1,381.07	$1,553.70	$2,030.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.74 / $2,169.07 / $5,700.92	Professional		$1,543.74	$2,169.07	$5,700.92
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 $1,464.23 / $1,930.72 / $2,971.38	Professional		$1,464.23	$1,930.72	$2,971.38