Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.15 / $2,087.14 / $4,846.00	Facility		$1,994.15	$2,087.14	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,832.04 / $2,087.14 / $2,693.09	Professional		$1,832.04	$2,087.14	$2,693.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,521.80 / $26,904.00 / $50,875.00	Facility		$2,521.80	$26,904.00	$50,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,017.44 / $2,521.80 / $3,480.08	Professional		$2,017.44	$2,521.80	$3,480.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,653.69 / $2,107.64 / $2,457.21	Facility		$1,653.69	$2,107.64	$2,457.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,702.32 / $1,945.51 / $2,431.89	Professional		$1,702.32	$1,945.51	$2,431.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,851.50 / $2,657.42 / $4,482.88	Professional		$1,851.50	$2,657.42	$4,482.88
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 $1,848.67 / $2,304.88 / $3,684.30	Professional		$1,848.67	$2,304.88	$3,684.30