Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.66 / $1,724.67 / $4,846.00	Facility		$1,653.66	$1,724.67	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.86 / $1,724.67 / $2,225.38	Professional		$1,492.86	$1,724.67	$2,225.38
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 $1,604.49 / $2,672.80 / $3,608.28	Professional		$1,604.49	$2,672.80	$3,608.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,371.33 / $1,747.77 / $2,016.66	Facility		$1,371.33	$1,747.77	$2,016.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,411.66 / $1,613.33 / $2,016.66	Professional		$1,411.66	$1,613.33	$2,016.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.95 / $2,153.89 / $5,657.36	Professional		$1,529.95	$2,153.89	$5,657.36
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 $1,449.49 / $1,866.33 / $2,929.71	Professional		$1,449.49	$1,866.33	$2,929.71