Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.25 / $2,212.32 / $4,846.00	Facility		$1,469.25	$2,212.32	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.25 / $1,514.94 / $1,843.60	Professional		$1,469.25	$1,514.94	$1,843.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $17,895.78 / $25,253.12	Facility		$5,091.00	$17,895.78	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.81 / $1,731.50 / $2,458.73	Professional		$1,405.81	$1,731.50	$2,458.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,439.28 / $1,834.38 / $2,116.59	Facility		$1,439.28	$1,834.38	$2,116.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,411.06 / $1,693.27 / $2,116.59	Professional		$1,411.06	$1,693.27	$2,116.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.03 / $2,092.48 / $3,507.63	Professional		$1,479.03	$2,092.48	$3,507.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,660.00 / $11,929.00	Facility		$1,987.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.19 / $1,911.31 / $3,313.50	Professional		$1,319.19	$1,911.31	$3,313.50