Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,420.01 / $4,846.00	Facility		$2,318.00	$2,420.01	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,093.88 / $2,420.01 / $3,122.60	Professional		$2,093.88	$2,420.01	$3,122.60
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 $1,484.64 / $1,855.80 / $2,561.00	Professional		$1,484.64	$1,855.80	$2,561.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,924.69 / $2,453.04 / $2,830.43	Facility		$1,924.69	$2,453.04	$2,830.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,981.30 / $2,264.34 / $2,830.43	Professional		$1,981.30	$2,264.34	$2,830.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.93 / $2,404.46 / $4,481.41	Professional		$1,667.93	$2,404.46	$4,481.41
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 $1,496.91 / $2,420.80 / $3,868.57	Professional		$1,496.91	$2,420.80	$3,868.57