Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.19 / $1,731.31 / $4,846.00	Facility		$1,652.19	$1,731.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,498.45 / $1,731.31 / $2,233.94	Professional		$1,498.45	$1,731.31	$2,233.94
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 $1,614.04 / $2,130.69 / $2,940.36	Professional		$1,614.04	$2,130.69	$2,940.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.19 / $1,880.54 / $2,982.27	Facility		$1,427.19	$1,880.54	$2,982.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,410.40 / $1,746.21 / $2,417.84	Professional		$1,410.40	$1,746.21	$2,417.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.21 / $2,096.44 / $4,134.17	Professional		$1,489.21	$2,096.44	$4,134.17
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 $1,270.73 / $1,812.62 / $2,941.00	Professional		$1,270.73	$1,812.62	$2,941.00