Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.85 / $1,525.00 / $4,846.00	Facility		$1,460.85	$1,525.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.96 / $1,525.00 / $1,967.74	Professional		$1,314.96	$1,525.00	$1,967.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,847.90 / $15,205.00 / $25,750.00	Facility		$1,847.90	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.08 / $1,847.90 / $2,550.10	Professional		$1,393.08	$1,847.90	$2,550.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,211.43 / $1,543.98 / $1,781.52	Facility		$1,211.43	$1,543.98	$1,781.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.43 / $1,425.22 / $1,781.52	Professional		$1,211.43	$1,425.22	$1,781.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.87 / $1,919.69 / $3,677.58	Professional		$1,338.87	$1,919.69	$3,677.58
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 $1,281.25 / $1,695.92 / $2,590.53	Professional		$1,281.25	$1,695.92	$2,590.53