Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,959.81 / $2,346.16 / $4,846.00	Facility		$1,959.81	$2,346.16	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.81 / $2,093.02 / $2,763.33	Professional		$1,959.81	$2,093.02	$2,763.33
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 $2,218.16 / $2,772.70 / $3,826.32	Professional		$2,218.16	$2,772.70	$3,826.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,945.60 / $2,479.69 / $2,861.18	Facility		$1,945.60	$2,479.69	$2,861.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,907.45 / $2,288.94 / $2,861.18	Professional		$1,907.45	$2,288.94	$2,861.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.02 / $2,786.63 / $4,775.95	Professional		$1,961.02	$2,786.63	$4,775.95
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 $1,931.04 / $2,433.36 / $4,128.14	Professional		$1,931.04	$2,433.36	$4,128.14