Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.48 / $1,709.26 / $4,846.00	Facility		$1,434.48	$1,709.26	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.48 / $1,572.43 / $2,022.61	Professional		$1,434.48	$1,572.43	$2,022.61
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 $1,397.28 / $1,746.60 / $2,410.30	Professional		$1,397.28	$1,746.60	$2,410.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,417.43 / $1,806.53 / $2,084.46	Facility		$1,417.43	$1,806.53	$2,084.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,389.64 / $1,667.57 / $2,084.46	Professional		$1,389.64	$1,667.57	$2,084.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.98 / $1,822.82 / $3,164.37	Professional		$1,377.98	$1,822.82	$3,164.37
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 $1,405.47 / $1,733.81 / $2,943.40	Professional		$1,405.47	$1,733.81	$2,943.40