Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.12 / $1,522.66 / $4,846.00	Facility		$1,417.12	$1,522.66	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.00 / $1,417.12 / $1,754.53	Professional		$1,302.00	$1,417.12	$1,754.53
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 $1,438.73 / $2,063.60 / $2,847.76	Professional		$1,438.73	$2,063.60	$2,847.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,326.34 / $1,690.43 / $1,950.50	Facility		$1,326.34	$1,690.43	$1,950.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.33 / $1,495.38 / $1,950.50	Professional		$1,300.33	$1,495.38	$1,950.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.68 / $2,001.05 / $3,088.20	Professional		$1,433.68	$2,001.05	$3,088.20
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 $1,296.51 / $1,589.93 / $2,593.16	Professional		$1,296.51	$1,589.93	$2,593.16