Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.02 / $1,386.00 / $4,846.00	Facility		$994.02	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.02 / $1,020.56 / $1,340.25	Professional		$994.02	$1,020.56	$1,340.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,446.00 / $21,000.00 / $27,626.35	Facility		$7,446.00	$21,000.00	$27,626.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.72 / $1,225.90 / $1,691.74	Professional		$980.72	$1,225.90	$1,691.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,151.80 / $1,626.08 / $2,439.12	Facility		$1,151.80	$1,626.08	$2,439.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,138.25 / $1,409.27 / $1,951.29	Professional		$1,138.25	$1,409.27	$1,951.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.16 / $1,340.36 / $2,414.86	Professional		$1,105.16	$1,340.36	$2,414.86
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 $1,028.39 / $1,303.88 / $2,097.55	Professional		$1,028.39	$1,303.88	$2,097.55