Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.80 / $1,979.77 / $4,846.00	Facility		$1,896.80	$1,979.77	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,714.88 / $1,979.77 / $2,554.55	Professional		$1,714.88	$1,979.77	$2,554.55
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 $1,835.87 / $3,017.50 / $4,164.14	Professional		$1,835.87	$3,017.50	$4,164.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,572.95 / $2,004.74 / $2,313.17	Facility		$1,572.95	$2,004.74	$2,313.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,619.22 / $1,850.53 / $2,313.17	Professional		$1,619.22	$1,850.53	$2,313.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.25 / $2,665.08 / $5,388.55	Professional		$1,756.25	$2,665.08	$5,388.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,660.00 / $11,929.00	Facility		$1,987.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,665.30 / $2,234.96 / $3,463.82	Professional		$1,665.30	$2,234.96	$3,463.82