Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.60 / $2,012.11 / $4,846.00	Facility		$1,923.60	$2,012.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.57 / $2,012.11 / $2,660.07	Professional		$1,700.57	$2,012.11	$2,660.07
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 $1,838.57 / $3,177.90 / $4,385.50	Professional		$1,838.57	$3,177.90	$4,385.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,595.18 / $2,033.07 / $2,345.85	Facility		$1,595.18	$2,033.07	$2,345.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,642.10 / $1,876.68 / $2,345.85	Professional		$1,642.10	$1,876.68	$2,345.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.93 / $2,693.26 / $5,504.91	Professional		$1,784.93	$2,693.26	$5,504.91
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 $1,697.14 / $2,176.84 / $3,530.05	Professional		$1,697.14	$2,176.84	$3,530.05