Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.40 / $1,868.03 / $4,846.00	Facility		$1,717.40	$1,868.03	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,650.37 / $1,868.03 / $2,335.03	Professional		$1,650.37	$1,868.03	$2,335.03
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 $1,618.64 / $2,023.30 / $2,792.15	Professional		$1,618.64	$2,023.30	$2,792.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,839.16 / $2,344.03 / $2,704.65	Facility		$1,839.16	$2,344.03	$2,704.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,803.10 / $2,163.71 / $2,704.65	Professional		$1,803.10	$2,163.71	$2,704.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.66 / $2,381.62 / $4,089.74	Professional		$1,669.66	$2,381.62	$4,089.74
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 $1,624.47 / $2,253.75 / $3,864.33	Professional		$1,624.47	$2,253.75	$3,864.33