Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.71 / $1,626.80 / $4,846.00	Facility		$1,560.71	$1,626.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.87 / $1,626.80 / $2,172.75	Professional		$1,364.87	$1,626.80	$2,172.75
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 $1,509.33 / $2,499.80 / $3,449.72	Professional		$1,509.33	$2,499.80	$3,449.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,294.25 / $1,649.53 / $1,903.31	Facility		$1,294.25	$1,649.53	$1,903.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,332.31 / $1,522.64 / $1,903.31	Professional		$1,332.31	$1,522.64	$1,903.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.13 / $2,220.42 / $5,351.08	Professional		$1,443.13	$2,220.42	$5,351.08
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 $1,364.37 / $1,795.18 / $2,796.43	Professional		$1,364.37	$1,795.18	$2,796.43