Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.63 / $1,660.18 / $4,846.00	Facility		$1,424.63	$1,660.18	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.70 / $1,454.21 / $1,877.06	Professional		$1,401.70	$1,454.21	$1,877.06
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 $1,273.85 / $2,001.20 / $2,761.65	Professional		$1,273.85	$2,001.20	$2,761.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,387.79 / $1,804.13 / $2,081.69	Facility		$1,387.79	$1,804.13	$2,081.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,387.79 / $1,526.57 / $2,081.69	Professional		$1,387.79	$1,526.57	$2,081.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.13 / $1,994.49 / $3,213.01	Professional		$1,493.13	$1,994.49	$3,213.01
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 $1,238.77 / $1,703.84 / $3,063.21	Professional		$1,238.77	$1,703.84	$3,063.21