Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.33 / $1,336.61 / $4,846.00	Facility		$1,253.33	$1,336.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.33 / $1,306.90 / $1,686.33	Professional		$1,125.33	$1,306.90	$1,686.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,681.40 / $24,214.00 / $45,778.00	Facility		$1,681.40	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.31 / $1,681.40 / $2,320.33	Professional		$1,202.31	$1,681.40	$2,320.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.34 / $1,324.66 / $1,528.46	Facility		$1,039.34	$1,324.66	$1,528.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,069.92 / $1,222.76 / $1,528.46	Professional		$1,069.92	$1,222.76	$1,528.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.34 / $1,685.84 / $3,017.84	Professional		$1,159.34	$1,685.84	$3,017.84
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 $1,095.47 / $1,405.88 / $2,278.58	Professional		$1,095.47	$1,405.88	$2,278.58