Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.70 / $1,627.22 / $4,846.00	Facility		$1,557.70	$1,627.22	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.38 / $1,627.22 / $2,099.64	Professional		$1,403.38	$1,627.22	$2,099.64
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 $1,313.92 / $1,642.40 / $2,266.51	Professional		$1,313.92	$1,642.40	$2,266.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,345.58 / $1,772.99 / $2,796.38	Facility		$1,345.58	$1,772.99	$2,796.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,329.74 / $1,646.35 / $2,279.55	Professional		$1,329.74	$1,646.35	$2,279.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.50 / $2,037.06 / $3,794.97	Professional		$1,403.50	$2,037.06	$3,794.97
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 $1,366.02 / $1,760.04 / $2,764.19	Professional		$1,366.02	$1,760.04	$2,764.19