Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.31 / $2,004.65 / $4,846.00	Facility		$1,674.31	$2,004.65	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,674.31 / $1,788.21 / $2,360.77	Professional		$1,674.31	$1,788.21	$2,360.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,044.01 / $15,154.00	Facility		$4,800.00	$11,044.01	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,895.09 / $2,442.60 / $3,370.78	Professional		$1,895.09	$2,442.60	$3,370.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,662.40 / $2,118.73 / $2,444.69	Facility		$1,662.40	$2,118.73	$2,444.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,629.80 / $1,874.27 / $2,444.69	Professional		$1,629.80	$1,874.27	$2,444.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.12 / $2,300.77 / $3,870.70	Professional		$1,702.12	$2,300.77	$3,870.70
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 $1,723.90 / $2,136.42 / $3,526.77	Professional		$1,723.90	$2,136.42	$3,526.77