Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.00 / $1,623.66 / $4,846.00	Facility		$1,555.00	$1,623.66	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.67 / $1,623.66 / $2,095.04	Professional		$1,400.67	$1,623.66	$2,095.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,446.00 / $24,138.89 / $33,175.44	Facility		$7,446.00	$24,138.89	$33,175.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,438.88 / $1,798.60 / $2,482.06	Professional		$1,438.88	$1,798.60	$2,482.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,289.51 / $1,643.50 / $1,896.35	Facility		$1,289.51	$1,643.50	$1,896.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,327.44 / $1,517.08 / $1,896.35	Professional		$1,327.44	$1,517.08	$1,896.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.45 / $1,949.10 / $3,511.27	Professional		$1,399.45	$1,949.10	$3,511.27
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 $1,291.31 / $1,758.19 / $2,758.12	Professional		$1,291.31	$1,758.19	$2,758.12