Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.10 / $1,696.93 / $4,846.00	Facility		$1,494.10	$1,696.93	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.81 / $1,494.10 / $1,778.68	Professional		$1,324.81	$1,494.10	$1,778.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.41 / $1,745.52 / $2,478.63	Professional		$1,396.41	$1,745.52	$2,478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,517.58 / $2,069.42 / $3,104.15	Facility		$1,517.58	$2,069.42	$3,104.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,407.21 / $1,724.53 / $2,483.31	Professional		$1,407.21	$1,724.53	$2,483.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,456.92 / $1,938.39 / $3,276.52	Professional		$1,456.92	$1,938.39	$3,276.52
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 $1,334.18 / $1,651.56 / $2,656.86	Professional		$1,334.18	$1,651.56	$2,656.86