Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.74 / $1,745.93 / $4,846.00	Facility		$1,654.74	$1,745.93	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.37 / $1,687.42 / $2,068.42	Professional		$1,483.37	$1,687.42	$2,068.42
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 $1,488.21 / $1,996.10 / $2,754.61	Professional		$1,488.21	$1,996.10	$2,754.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,611.99 / $2,095.59 / $2,417.98	Facility		$1,611.99	$2,095.59	$2,417.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,611.99 / $1,934.39 / $2,417.98	Professional		$1,611.99	$1,934.39	$2,417.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,608.94 / $2,226.52 / $3,565.01	Professional		$1,608.94	$2,226.52	$3,565.01
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 $1,477.26 / $2,014.45 / $3,363.29	Professional		$1,477.26	$2,014.45	$3,363.29