Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.64 / $1,386.00 / $4,846.00	Facility		$1,181.64	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.89 / $1,181.64 / $1,462.99	Professional		$1,082.89	$1,181.64	$1,462.99
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 $1,187.16 / $1,680.40 / $2,318.94	Professional		$1,187.16	$1,680.40	$2,318.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,107.83 / $1,411.96 / $1,629.18	Facility		$1,107.83	$1,411.96	$1,629.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,086.11 / $1,249.04 / $1,629.18	Professional		$1,086.11	$1,249.04	$1,629.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.46 / $1,620.00 / $2,618.34	Professional		$1,230.46	$1,620.00	$2,618.34
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 $1,132.01 / $1,319.52 / $2,109.98	Professional		$1,132.01	$1,319.52	$2,109.98