Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.42 / $1,714.70 / $4,846.00	Facility		$1,360.42	$1,714.70	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.42 / $1,363.42 / $1,702.32	Professional		$1,360.42	$1,363.42	$1,702.32
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 $1,512.58 / $1,988.60 / $2,744.26	Professional		$1,512.58	$1,988.60	$2,744.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,276.34 / $1,626.72 / $1,876.98	Facility		$1,276.34	$1,626.72	$1,876.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,251.32 / $1,501.58 / $1,876.98	Professional		$1,251.32	$1,501.58	$1,876.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.20 / $1,965.25 / $3,216.41	Professional		$1,425.20	$1,965.25	$3,216.41
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 $1,348.62 / $1,694.94 / $2,720.04	Professional		$1,348.62	$1,694.94	$2,720.04