Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.14 / $1,788.96 / $4,846.00	Facility		$1,710.14	$1,788.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.57 / $1,788.96 / $2,308.33	Professional		$1,665.57	$1,788.96	$2,308.33
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 $1,710.88 / $2,138.60 / $2,951.26	Professional		$1,710.88	$2,138.60	$2,951.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.26 / $1,946.50 / $3,128.31	Facility		$1,477.26	$1,946.50	$3,128.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,459.88 / $1,807.47 / $2,502.65	Professional		$1,459.88	$1,807.47	$2,502.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,586.98 / $2,331.94 / $4,594.68	Professional		$1,586.98	$2,331.94	$4,594.68
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 $1,583.86 / $2,213.98 / $3,038.92	Professional		$1,583.86	$2,213.98	$3,038.92