Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.19 / $1,993.20 / $4,846.00	Facility		$1,688.19	$1,993.20	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.00 / $1,688.19 / $2,110.23	Professional		$1,661.00	$1,688.19	$2,110.23
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 $1,761.63 / $2,420.50 / $3,340.29	Professional		$1,761.63	$2,420.50	$3,340.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,674.85 / $2,134.61 / $2,463.02	Facility		$1,674.85	$2,134.61	$2,463.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,642.01 / $1,970.41 / $2,463.02	Professional		$1,642.01	$1,970.41	$2,463.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,790.77 / $2,481.83 / $4,045.71	Professional		$1,790.77	$2,481.83	$4,045.71
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 $1,652.76 / $2,117.71 / $3,463.65	Professional		$1,652.76	$2,117.71	$3,463.65