Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.20 / $1,858.80 / $4,846.00	Facility		$1,782.20	$1,858.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.76 / $1,858.80 / $2,398.44	Professional		$1,608.76	$1,858.80	$2,398.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $24,214.00 / $45,778.00	Facility		$2,575.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,695.12 / $2,724.40 / $3,759.67	Professional		$1,695.12	$2,724.40	$3,759.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.92 / $1,883.62 / $2,173.41	Facility		$1,477.92	$1,883.62	$2,173.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,477.92 / $1,738.73 / $2,173.41	Professional		$1,477.92	$1,738.73	$2,173.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.93 / $2,435.88 / $6,098.41	Professional		$1,648.93	$2,435.88	$6,098.41
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 $1,562.08 / $2,002.52 / $3,157.56	Professional		$1,562.08	$2,002.52	$3,157.56