Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.22 / $2,073.44 / $4,846.00	Facility		$1,719.22	$2,073.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,719.22 / $1,727.87 / $2,292.30	Professional		$1,719.22	$1,727.87	$2,292.30
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 $1,741.40 / $2,176.76 / $3,090.99	Professional		$1,741.40	$2,176.76	$3,090.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,625.98 / $2,072.33 / $2,391.15	Facility		$1,625.98	$2,072.33	$2,391.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,594.10 / $1,912.92 / $2,391.15	Professional		$1,594.10	$1,912.92	$2,391.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $2,239.03 / $3,785.90	Professional		$1,638.00	$2,239.03	$3,785.90
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 $1,692.23 / $2,113.33 / $3,678.11	Professional		$1,692.23	$2,113.33	$3,678.11