Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.71 / $1,949.94 / $4,846.00	Facility		$1,865.71	$1,949.94	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.75 / $1,949.94 / $2,333.25	Professional		$1,681.75	$1,949.94	$2,333.25
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 $1,848.14 / $2,604.80 / $3,594.62	Professional		$1,848.14	$2,604.80	$3,594.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,547.18 / $1,971.89 / $2,275.26	Facility		$1,547.18	$1,971.89	$2,275.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,592.68 / $1,820.21 / $2,275.26	Professional		$1,592.68	$1,820.21	$2,275.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.78 / $2,523.29 / $5,851.87	Professional		$1,729.78	$2,523.29	$5,851.87
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 $1,597.22 / $2,124.10 / $3,346.85	Professional		$1,597.22	$2,124.10	$3,346.85