Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.38 / $1,386.00 / $4,846.00	Facility		$1,162.38	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.51 / $1,162.38 / $1,453.83	Professional		$1,128.51	$1,162.38	$1,453.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,085.00 / $18,927.70 / $28,794.00	Facility		$6,085.00	$18,927.70	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.35 / $1,449.20 / $1,999.89	Professional		$1,159.35	$1,449.20	$1,999.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,091.28 / $1,390.84 / $1,604.82	Facility		$1,091.28	$1,390.84	$1,604.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,069.88 / $1,283.85 / $1,604.82	Professional		$1,069.88	$1,283.85	$1,604.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.97 / $1,508.48 / $2,528.15	Professional		$1,085.97	$1,508.48	$2,528.15
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 $1,084.24 / $1,382.75 / $2,223.30	Professional		$1,084.24	$1,382.75	$2,223.30