Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.97 / $1,501.96 / $4,846.00	Facility		$1,300.97	$1,501.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.77 / $1,300.97 / $1,622.56	Professional		$1,254.77	$1,300.97	$1,622.56
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 $1,383.14 / $1,756.40 / $2,423.83	Professional		$1,383.14	$1,756.40	$2,423.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,222.45 / $1,558.02 / $1,797.72	Facility		$1,222.45	$1,558.02	$1,797.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.48 / $1,438.18 / $1,797.72	Professional		$1,198.48	$1,438.18	$1,797.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.92 / $1,830.97 / $2,846.33	Professional		$1,362.92	$1,830.97	$2,846.33
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 $1,283.88 / $1,587.22 / $2,375.17	Professional		$1,283.88	$1,587.22	$2,375.17