Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.14 / $1,386.00 / $4,846.00	Facility		$1,165.14	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.24 / $1,165.14 / $1,455.28	Professional		$1,129.24	$1,165.14	$1,455.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $24,214.00 / $45,778.00	Facility		$1,657.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.52 / $1,657.00 / $2,286.66	Professional		$1,251.52	$1,657.00	$2,286.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.84 / $1,395.39 / $1,610.07	Facility		$1,094.84	$1,395.39	$1,610.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,073.38 / $1,234.39 / $1,610.07	Professional		$1,073.38	$1,234.39	$1,610.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.42 / $1,619.06 / $2,531.21	Professional		$1,179.42	$1,619.06	$2,531.21
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 $1,153.38 / $1,430.19 / $2,133.75	Professional		$1,153.38	$1,430.19	$2,133.75