Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.69 / $1,632.67 / $4,846.00	Facility		$1,486.69	$1,632.67	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.48 / $1,486.69 / $2,069.10	Professional		$1,362.48	$1,486.69	$2,069.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $17,895.78 / $25,253.12	Facility		$5,091.00	$17,895.78	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,432.48 / $1,790.60 / $2,471.02	Professional		$1,432.48	$1,790.60	$2,471.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,496.77 / $1,907.65 / $2,201.13	Facility		$1,496.77	$1,907.65	$2,201.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,467.42 / $1,687.53 / $2,201.13	Professional		$1,467.42	$1,687.53	$2,201.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.64 / $2,051.12 / $3,412.84	Professional		$1,526.64	$2,051.12	$3,412.84
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 $1,549.16 / $1,826.11 / $3,204.65	Professional		$1,549.16	$1,826.11	$3,204.65