Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,895.10 / $1,977.54 / $4,846.00	Facility		$1,895.10	$1,977.54	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.50 / $1,977.54 / $2,551.67	Professional		$1,712.50	$1,977.54	$2,551.67
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 $1,865.28 / $3,060.20 / $4,223.07	Professional		$1,865.28	$3,060.20	$4,223.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,571.54 / $2,002.95 / $2,311.10	Facility		$1,571.54	$2,002.95	$2,311.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,617.77 / $1,848.88 / $2,311.10	Professional		$1,617.77	$1,848.88	$2,311.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,754.27 / $2,716.05 / $6,480.92	Professional		$1,754.27	$2,716.05	$6,480.92
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 $1,576.96 / $2,061.66 / $3,359.27	Professional		$1,576.96	$2,061.66	$3,359.27