Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.59 / $1,762.20 / $4,846.00	Facility		$1,592.59	$1,762.20	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.50 / $1,592.59 / $2,216.48	Professional		$1,468.50	$1,592.59	$2,216.48
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 $1,720.32 / $2,150.40 / $2,967.55	Professional		$1,720.32	$2,150.40	$2,967.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,673.61 / $2,362.76 / $3,544.14	Facility		$1,673.61	$2,362.76	$3,544.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,653.93 / $2,047.72 / $2,835.30	Professional		$1,653.93	$2,047.72	$2,835.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.40 / $2,275.46 / $3,899.91	Professional		$1,702.40	$2,275.46	$3,899.91
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 $1,673.13 / $1,956.54 / $3,458.39	Professional		$1,673.13	$1,956.54	$3,458.39