Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.51 / $1,723.83 / $4,846.00	Facility		$1,652.51	$1,723.83	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.17 / $1,723.83 / $2,224.29	Professional		$1,492.17	$1,723.83	$2,224.29
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 $1,600.59 / $2,716.90 / $3,749.32	Professional		$1,600.59	$2,716.90	$3,749.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,370.37 / $1,746.55 / $2,015.25	Facility		$1,370.37	$1,746.55	$2,015.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,370.37 / $1,612.20 / $2,015.25	Professional		$1,370.37	$1,612.20	$2,015.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.20 / $2,376.82 / $5,443.60	Professional		$1,529.20	$2,376.82	$5,443.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $5,660.00 / $11,929.00	Facility		$1,917.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,482.72 / $1,866.40 / $2,928.28	Professional		$1,482.72	$1,866.40	$2,928.28