Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.21 / $1,952.44 / $4,846.00	Facility		$1,665.21	$1,952.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,627.03 / $1,703.63 / $2,081.52	Professional		$1,627.03	$1,703.63	$2,081.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $23,175.52 / $32,252.00	Facility		$5,778.00	$23,175.52	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.17 / $2,144.69 / $2,959.68	Professional		$1,523.17	$2,144.69	$2,959.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,620.09 / $2,106.12 / $2,430.14	Facility		$1,620.09	$2,106.12	$2,430.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,620.09 / $1,944.11 / $2,430.14	Professional		$1,620.09	$1,944.11	$2,430.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.08 / $2,264.10 / $3,663.00	Professional		$1,669.08	$2,264.10	$3,663.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.28 / $1,957.71 / $3,403.86	Professional		$1,445.28	$1,957.71	$3,403.86