Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.21 / $2,388.17 / $4,846.00	Facility		$2,291.21	$2,388.17	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,066.35 / $2,388.17 / $3,081.53	Professional		$2,066.35	$2,388.17	$3,081.53
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 $1,485.96 / $1,885.80 / $2,602.40	Professional		$1,485.96	$1,885.80	$2,602.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.03 / $2,421.60 / $2,794.16	Facility		$1,900.03	$2,421.60	$2,794.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,900.03 / $2,235.32 / $2,794.16	Professional		$1,900.03	$2,235.32	$2,794.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.57 / $2,372.40 / $4,423.99	Professional		$1,646.57	$2,372.40	$4,423.99
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 $1,541.77 / $2,460.91 / $3,819.85	Professional		$1,541.77	$2,460.91	$3,819.85