Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.96 / $1,829.72 / $4,846.00	Facility		$1,627.96	$1,829.72	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.16 / $1,627.96 / $1,938.04	Professional		$1,451.16	$1,627.96	$1,938.04
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 $1,549.32 / $1,936.66 / $2,672.59	Professional		$1,549.32	$1,936.66	$2,672.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,517.33 / $1,933.85 / $2,231.37	Facility		$1,517.33	$1,933.85	$2,231.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,487.58 / $1,710.72 / $2,231.37	Professional		$1,487.58	$1,710.72	$2,231.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,625.35 / $1,964.73 / $3,532.92	Professional		$1,625.35	$1,964.73	$3,532.92
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 $1,543.66 / $2,061.21 / $3,076.42	Professional		$1,543.66	$2,061.21	$3,076.42