Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.68 / $1,851.38 / $4,846.00	Facility		$1,768.68	$1,851.38	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,675.93 / $1,851.38 / $2,406.53	Professional		$1,675.93	$1,851.38	$2,406.53
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 $1,217.10 / $1,431.90 / $1,976.02	Professional		$1,217.10	$1,431.90	$1,976.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,466.71 / $1,869.34 / $2,177.02	Facility		$1,466.71	$1,869.34	$2,177.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,509.85 / $1,725.54 / $2,156.92	Professional		$1,509.85	$1,725.54	$2,156.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.35 / $2,254.40 / $3,984.20	Professional		$1,642.35	$2,254.40	$3,984.20
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 $1,661.18 / $2,156.92 / $4,210.28	Professional		$1,661.18	$2,156.92	$4,210.28