Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,706.57 / $2,015.80 / $4,846.00	Facility		$1,706.57	$2,015.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,679.83 / $1,706.57 / $2,133.21	Professional		$1,679.83	$1,706.57	$2,133.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,881.00 / $23,381.41 / $33,555.00	Facility		$7,881.00	$23,381.41	$33,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,787.82 / $2,315.90 / $3,195.94	Professional		$1,787.82	$2,315.90	$3,195.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,692.84 / $2,157.55 / $2,489.48	Facility		$1,692.84	$2,157.55	$2,489.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.65 / $1,908.60 / $2,489.48	Professional		$1,659.65	$1,908.60	$2,489.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.37 / $2,571.25 / $3,941.60	Professional		$1,833.37	$2,571.25	$3,941.60
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 $1,731.36 / $2,330.10 / $4,095.33	Professional		$1,731.36	$2,330.10	$4,095.33