Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.69 / $1,757.90 / $4,846.00	Facility		$1,679.69	$1,757.90	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.02 / $1,757.90 / $2,268.26	Professional		$1,542.02	$1,757.90	$2,268.26
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 $1,411.84 / $1,764.80 / $2,435.42	Professional		$1,411.84	$1,764.80	$2,435.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,450.95 / $1,911.84 / $3,072.60	Facility		$1,450.95	$1,911.84	$3,072.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,433.88 / $1,775.28 / $2,458.08	Professional		$1,433.88	$1,775.28	$2,458.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,559.43 / $2,274.07 / $4,483.39	Professional		$1,559.43	$2,274.07	$4,483.39
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 $1,512.60 / $2,033.13 / $3,115.12	Professional		$1,512.60	$2,033.13	$3,115.12