Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.55 / $1,892.41 / $4,846.00	Facility		$1,791.55	$1,892.41	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.69 / $1,791.55 / $2,239.44	Professional		$1,616.69	$1,791.55	$2,239.44
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 $1,789.20 / $2,377.80 / $3,281.36	Professional		$1,789.20	$2,377.80	$3,281.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,850.85 / $2,612.96 / $3,919.46	Facility		$1,850.85	$2,612.96	$3,919.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,829.08 / $2,264.57 / $3,135.57	Professional		$1,829.08	$2,264.57	$3,135.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,904.12 / $2,634.17 / $4,006.55	Professional		$1,904.12	$2,634.17	$4,006.55
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 $1,795.42 / $2,142.96 / $3,684.65	Professional		$1,795.42	$2,142.96	$3,684.65