Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.39 / $1,827.32 / $4,846.00	Facility		$1,746.39	$1,827.32	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,660.17 / $1,827.32 / $2,357.84	Professional		$1,660.17	$1,827.32	$2,357.84
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 $1,705.28 / $3,517.02 / $4,747.97	Professional		$1,705.28	$3,517.02	$4,747.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,448.23 / $1,845.78 / $2,149.33	Facility		$1,448.23	$1,845.78	$2,149.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,490.82 / $1,703.80 / $2,129.75	Professional		$1,490.82	$1,703.80	$2,129.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.51 / $2,226.46 / $4,642.47	Professional		$1,562.51	$2,226.46	$4,642.47
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 $1,565.06 / $2,154.12 / $4,389.18	Professional		$1,565.06	$2,154.12	$4,389.18