Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.38 / $2,039.29 / $3,185.23	Facility		$1,354.38	$2,039.29	$3,185.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.16 / $2,039.29 / $7,001.33	Professional		$1,471.16	$2,039.29	$7,001.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $20,184.00 / $30,193.55	Facility		$4,800.00	$20,184.00	$30,193.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,151.65 / $1,719.80 / $2,373.32	Professional		$1,151.65	$1,719.80	$2,373.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.81 / $1,689.35 / $2,534.03	Facility		$1,230.81	$1,689.35	$2,534.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,206.68 / $1,448.02 / $2,172.03	Professional		$1,206.68	$1,448.02	$2,172.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $2,141.04 / $2,950.69	Professional		$1,549.35	$2,141.04	$2,950.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.94 / $1,457.47 / $2,590.52	Professional		$1,089.94	$1,457.47	$2,590.52