Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.94 / $1,905.95 / $4,846.00	Facility		$1,821.94	$1,905.95	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.64 / $1,905.95 / $2,459.29	Professional		$1,655.64	$1,905.95	$2,459.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,026.99 / $15,205.00 / $25,750.00	Facility		$2,026.99	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.59 / $2,026.99 / $2,797.24	Professional		$1,621.59	$2,026.99	$2,797.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,510.88 / $1,925.63 / $2,221.88	Facility		$1,510.88	$1,925.63	$2,221.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,555.31 / $1,777.50 / $2,221.88	Professional		$1,555.31	$1,777.50	$2,221.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.90 / $2,329.30 / $4,738.08	Professional		$1,637.90	$2,329.30	$4,738.08
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 $1,609.45 / $2,221.88 / $4,554.74	Professional		$1,609.45	$2,221.88	$4,554.74