Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.71 / $2,082.71 / $4,846.00	Facility		$1,772.71	$2,082.71	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,735.60 / $1,772.71 / $2,215.89	Professional		$1,735.60	$1,772.71	$2,215.89
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 $1,824.96 / $2,281.19 / $3,148.05	Professional		$1,824.96	$2,281.19	$3,148.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,758.83 / $2,241.64 / $2,586.51	Facility		$1,758.83	$2,241.64	$2,586.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,724.34 / $2,069.21 / $2,586.51	Professional		$1,724.34	$2,069.21	$2,586.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,890.24 / $2,610.59 / $4,095.23	Professional		$1,890.24	$2,610.59	$4,095.23
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 $1,794.59 / $2,225.29 / $3,628.66	Professional		$1,794.59	$2,225.29	$3,628.66