Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.86 / $2,236.08 / $4,846.00	Facility		$1,860.86	$2,236.08	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,860.86 / $2,046.17 / $2,623.82	Professional		$1,860.86	$2,046.17	$2,623.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $32,251.00 / $57,499.79	Facility		$3,650.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,363.46 / $1,606.30 / $2,280.94	Professional		$1,363.46	$1,606.30	$2,280.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,854.31 / $2,363.34 / $2,726.93	Facility		$1,854.31	$2,363.34	$2,726.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,817.95 / $2,090.64 / $2,726.93	Professional		$1,817.95	$2,090.64	$2,726.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.93 / $2,111.04 / $4,057.22	Professional		$1,445.93	$2,111.04	$4,057.22
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 $1,605.76 / $2,237.19 / $3,753.70	Professional		$1,605.76	$2,237.19	$3,753.70