Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.47 / $1,602.12 / $4,846.00	Facility		$1,532.47	$1,602.12	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.37 / $1,602.12 / $2,067.25	Professional		$1,382.37	$1,602.12	$2,067.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $10,577.42 / $18,643.75	Facility		$5,091.00	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,497.46 / $2,053.30 / $2,833.55	Professional		$1,497.46	$2,053.30	$2,833.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.78 / $1,744.27 / $2,752.67	Facility		$1,323.78	$1,744.27	$2,752.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,308.21 / $1,619.68 / $2,242.64	Professional		$1,308.21	$1,619.68	$2,242.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.24 / $2,056.56 / $4,393.75	Professional		$1,421.24	$2,056.56	$4,393.75
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 $1,345.57 / $1,723.21 / $2,721.53	Professional		$1,345.57	$1,723.21	$2,721.53