Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.18 / $1,708.89 / $4,846.00	Facility		$1,636.18	$1,708.89	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.10 / $1,708.89 / $2,043.05	Professional		$1,395.10	$1,708.89	$2,043.05
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 $1,489.04 / $3,063.23 / $4,135.35	Professional		$1,489.04	$3,063.23	$4,135.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,356.83 / $1,729.30 / $1,995.35	Facility		$1,356.83	$1,729.30	$1,995.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,396.74 / $1,596.28 / $1,995.35	Professional		$1,396.74	$1,596.28	$1,995.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.93 / $1,964.08 / $4,043.46	Professional		$1,474.93	$1,964.08	$4,043.46
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 $1,441.38 / $1,851.65 / $2,928.48	Professional		$1,441.38	$1,851.65	$2,928.48