Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.29 / $1,514.96 / $4,846.00	Facility		$1,453.29	$1,514.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.09 / $1,514.96 / $1,954.78	Professional		$1,308.09	$1,514.96	$1,954.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $17,625.00 / $37,128.00	Facility		$2,451.00	$17,625.00	$37,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.13 / $2,732.40 / $3,688.74	Professional		$1,107.13	$2,732.40	$3,688.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,205.17 / $1,536.00 / $1,772.31	Facility		$1,205.17	$1,536.00	$1,772.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,240.61 / $1,417.85 / $1,772.31	Professional		$1,240.61	$1,417.85	$1,772.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.19 / $1,728.21 / $3,606.77	Professional		$1,317.19	$1,728.21	$3,606.77
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 $1,266.92 / $1,663.21 / $2,573.46	Professional		$1,266.92	$1,663.21	$2,573.46