Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.10 / $1,941.95 / $4,846.00	Facility		$1,855.10	$1,941.95	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.17 / $1,941.95 / $2,505.75	Professional		$1,704.17	$1,941.95	$2,505.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,332.80 / $26,904.00 / $50,875.00	Facility		$2,332.80	$26,904.00	$50,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,866.24 / $2,332.80 / $3,219.26	Professional		$1,866.24	$2,332.80	$3,219.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,538.37 / $1,960.67 / $2,284.05	Facility		$1,538.37	$1,960.67	$2,284.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,583.62 / $1,809.85 / $2,262.32	Professional		$1,583.62	$1,809.85	$2,262.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.70 / $2,457.79 / $4,139.45	Professional		$1,722.70	$2,457.79	$4,139.45
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 $1,647.25 / $2,140.44 / $3,393.11	Professional		$1,647.25	$2,140.44	$3,393.11