Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.56 / $1,947.50 / $4,846.00	Facility		$1,860.56	$1,947.50	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.39 / $1,947.50 / $2,512.91	Professional		$1,749.39	$1,947.50	$2,512.91
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 $1,818.84 / $2,999.35 / $4,049.12	Professional		$1,818.84	$2,999.35	$4,049.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,607.19 / $2,117.71 / $3,403.47	Facility		$1,607.19	$2,117.71	$3,403.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,588.28 / $1,966.45 / $2,722.77	Professional		$1,588.28	$1,966.45	$2,722.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.39 / $2,488.30 / $5,163.89	Professional		$1,664.39	$2,488.30	$5,163.89
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 $1,653.11 / $2,249.87 / $3,501.33	Professional		$1,653.11	$2,249.87	$3,501.33