Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.35 / $4,846.00 / $15,935.14	Facility		$1,697.35	$4,846.00	$15,935.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.84 / $1,735.56 / $2,121.69	Professional		$1,655.84	$1,735.56	$2,121.69
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 $1,562.14 / $2,175.19 / $3,001.77	Professional		$1,562.14	$2,175.19	$3,001.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,652.68 / $2,148.48 / $2,479.02	Facility		$1,652.68	$2,148.48	$2,479.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,652.68 / $1,983.22 / $2,479.02	Professional		$1,652.68	$1,983.22	$2,479.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.00 / $2,334.21 / $3,748.60	Professional		$1,731.00	$2,334.21	$3,748.60
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 $1,501.34 / $2,039.65 / $3,467.59	Professional		$1,501.34	$2,039.65	$3,467.59