Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.37 / $1,742.09 / $4,846.00	Facility		$1,666.37	$1,742.09	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,504.99 / $1,742.09 / $2,247.86	Professional		$1,504.99	$1,742.09	$2,247.86
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 $1,450.56 / $1,813.20 / $2,502.21	Professional		$1,450.56	$1,813.20	$2,502.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,439.44 / $1,896.68 / $2,999.70	Facility		$1,439.44	$1,896.68	$2,999.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,422.51 / $1,761.20 / $2,438.58	Professional		$1,422.51	$1,761.20	$2,438.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.71 / $2,148.23 / $4,065.66	Professional		$1,507.71	$2,148.23	$4,065.66
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 $1,467.25 / $1,888.80 / $2,959.30	Professional		$1,467.25	$1,888.80	$2,959.30