Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,924.55 / $5,634.00	Facility		$1,386.00	$1,924.55	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.61 / $1,693.33 / $2,015.87	Professional		$1,502.61	$1,693.33	$2,015.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,599.60 / $2,028.44 / $2,799.24	Professional		$1,599.60	$2,028.44	$2,799.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $2,033.56 / $2,346.42	Facility		$1,595.57	$2,033.56	$2,346.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.28 / $1,842.48 / $2,346.42	Professional		$1,564.28	$1,842.48	$2,346.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,593.74 / $2,019.86 / $3,529.64	Professional		$1,593.74	$2,019.86	$3,529.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.32 / $1,958.73 / $3,396.99	Professional		$1,518.32	$1,958.73	$3,396.99