Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.76 / $1,345.61 / $4,846.00	Facility		$1,271.76	$1,345.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.07 / $1,326.92 / $1,712.15	Professional		$1,143.07	$1,326.92	$1,712.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,014.40 / $15,205.00 / $25,750.00	Facility		$2,014.40	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.84 / $2,014.40 / $2,779.87	Professional		$1,235.84	$2,014.40	$2,779.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,054.63 / $1,344.14 / $1,550.93	Facility		$1,054.63	$1,344.14	$1,550.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,054.63 / $1,240.74 / $1,550.93	Professional		$1,054.63	$1,240.74	$1,550.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.10 / $1,816.64 / $3,505.35	Professional		$1,177.10	$1,816.64	$3,505.35
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 $1,113.11 / $1,443.71 / $2,254.06	Professional		$1,113.11	$1,443.71	$2,254.06