Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.30 / $1,826.27 / $4,846.00	Facility		$1,525.30	$1,826.27	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.30 / $1,629.08 / $2,150.67	Professional		$1,525.30	$1,629.08	$2,150.67
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 $1,693.66 / $2,142.90 / $2,957.20	Professional		$1,693.66	$2,142.90	$2,957.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,514.47 / $1,930.20 / $2,227.16	Facility		$1,514.47	$1,930.20	$2,227.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,484.77 / $1,742.15 / $2,227.16	Professional		$1,484.77	$1,742.15	$2,227.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,550.55 / $2,128.36 / $3,526.26	Professional		$1,550.55	$2,128.36	$3,526.26
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 $1,561.94 / $1,913.77 / $3,176.86	Professional		$1,561.94	$1,913.77	$3,176.86