Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.85 / $1,954.84 / $4,846.00	Facility		$1,736.85	$1,954.84	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.05 / $1,736.85 / $2,067.67	Professional		$1,633.05	$1,736.85	$2,067.67
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 $1,710.26 / $2,178.23 / $3,005.95	Professional		$1,710.26	$2,178.23	$3,005.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.09 / $2,066.09 / $2,383.94	Facility		$1,621.09	$2,066.09	$2,383.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,589.30 / $1,827.70 / $2,383.94	Professional		$1,589.30	$1,827.70	$2,383.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.95 / $2,125.32 / $3,655.38	Professional		$1,764.95	$2,125.32	$3,655.38
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 $1,645.26 / $2,097.94 / $3,211.76	Professional		$1,645.26	$2,097.94	$3,211.76