Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.34 / $1,463.03 / $4,846.00	Facility		$1,253.34	$1,463.03	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.19 / $1,253.34 / $1,569.82	Professional		$1,219.19	$1,253.34	$1,569.82
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 $1,352.04 / $1,935.10 / $2,670.43	Professional		$1,352.04	$1,935.10	$2,670.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,175.31 / $1,497.94 / $1,728.39	Facility		$1,175.31	$1,497.94	$1,728.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,152.26 / $1,382.71 / $1,728.39	Professional		$1,152.26	$1,382.71	$1,728.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.04 / $1,841.24 / $2,874.70	Professional		$1,313.04	$1,841.24	$2,874.70
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 $1,244.31 / $1,526.01 / $2,446.80	Professional		$1,244.31	$1,526.01	$2,446.80