Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.25 / $1,635.65 / $4,846.00	Facility		$1,570.25	$1,635.65	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.79 / $1,635.65 / $2,110.52	Professional		$1,413.79	$1,635.65	$2,110.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,574.80 / $24,214.00 / $45,778.00	Facility		$2,574.80	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,507.24 / $2,574.80 / $3,553.22	Professional		$1,507.24	$2,574.80	$3,553.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,302.16 / $1,659.62 / $1,914.95	Facility		$1,302.16	$1,659.62	$1,914.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,302.16 / $1,531.96 / $1,914.95	Professional		$1,302.16	$1,531.96	$1,914.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.98 / $2,235.16 / $5,382.39	Professional		$1,450.98	$2,235.16	$5,382.39
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 $1,372.55 / $1,834.90 / $2,778.51	Professional		$1,372.55	$1,834.90	$2,778.51