Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.80 / $1,622.92 / $4,846.00	Facility		$1,354.80	$1,622.92	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.80 / $1,447.41 / $1,910.27	Professional		$1,354.80	$1,447.41	$1,910.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,580.56 / $24,062.10	Facility		$5,091.00	$15,580.56	$24,062.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,960.00 / $2,704.80	Professional		$1,537.02	$1,960.00	$2,704.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,401.91 / $1,979.18 / $2,968.77	Facility		$1,401.91	$1,979.18	$2,968.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,385.42 / $1,715.29 / $2,375.01	Professional		$1,385.42	$1,715.29	$2,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.62 / $1,928.46 / $3,087.59	Professional		$1,361.62	$1,928.46	$3,087.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,735.00 / $10,926.00	Facility		$1,987.00	$5,735.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.60 / $1,705.07 / $2,813.63	Professional		$1,374.60	$1,705.07	$2,813.63