Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.00 / $1,705.96 / $4,846.00	Facility		$1,632.00	$1,705.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.52 / $1,705.96 / $2,038.48	Professional		$1,306.52	$1,705.96	$2,038.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,438.30 / $15,205.00 / $25,750.00	Facility		$2,438.30	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,561.84 / $2,438.30 / $3,364.85	Professional		$1,561.84	$2,438.30	$3,364.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,353.37 / $1,724.88 / $1,990.25	Facility		$1,353.37	$1,724.88	$1,990.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,393.17 / $1,592.20 / $1,990.25	Professional		$1,393.17	$1,592.20	$1,990.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.35 / $2,304.91 / $4,490.97	Professional		$1,513.35	$2,304.91	$4,490.97
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 $1,437.00 / $1,903.82 / $3,473.73	Professional		$1,437.00	$1,903.82	$3,473.73