Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.22 / $1,583.93 / $4,846.00	Facility		$1,515.22	$1,583.93	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.44 / $1,583.93 / $2,100.91	Professional		$1,324.44	$1,583.93	$2,100.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,316.40 / $15,205.00 / $25,750.00	Facility		$2,316.40	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,475.76 / $2,316.40 / $3,196.63	Professional		$1,475.76	$2,316.40	$3,196.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,256.53 / $1,601.46 / $1,847.84	Facility		$1,256.53	$1,601.46	$1,847.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,256.53 / $1,478.27 / $1,847.84	Professional		$1,256.53	$1,478.27	$1,847.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,382.15 / $2,180.29 / $4,099.24	Professional		$1,382.15	$2,180.29	$4,099.24
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 $1,292.65 / $1,726.81 / $2,690.63	Professional		$1,292.65	$1,726.81	$2,690.63