Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,901.01 / $1,989.51 / $4,846.00	Facility		$1,901.01	$1,989.51	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.81 / $1,989.51 / $2,567.10	Professional		$1,745.81	$1,989.51	$2,567.10
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 $1,858.68 / $3,064.77 / $4,137.43	Professional		$1,858.68	$3,064.77	$4,137.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,642.14 / $2,163.76 / $3,477.47	Facility		$1,642.14	$2,163.76	$3,477.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,622.82 / $2,009.20 / $2,781.98	Professional		$1,622.82	$2,009.20	$2,781.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.53 / $2,542.54 / $5,276.55	Professional		$1,700.53	$2,542.54	$5,276.55
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 $1,688.97 / $2,376.32 / $3,577.65	Professional		$1,688.97	$2,376.32	$3,577.65