Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.28 / $1,923.56 / $4,846.00	Facility		$1,840.28	$1,923.56	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $1,923.56 / $2,482.01	Professional		$1,426.77	$1,923.56	$2,482.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,205.00 / $25,750.00	Facility		$2,451.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.94 / $2,506.80 / $3,459.38	Professional		$1,625.94	$2,506.80	$3,459.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,526.08 / $1,945.01 / $2,244.23	Facility		$1,526.08	$1,945.01	$2,244.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,570.97 / $1,795.39 / $2,244.23	Professional		$1,570.97	$1,795.39	$2,244.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.88 / $2,180.40 / $5,171.42	Professional		$1,656.88	$2,180.40	$5,171.42
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 $1,551.63 / $2,011.60 / $3,267.57	Professional		$1,551.63	$2,011.60	$3,267.57