Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.92 / $1,548.80 / $4,846.00	Facility		$1,481.92	$1,548.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.20 / $1,548.80 / $1,838.79	Professional		$1,292.20	$1,548.80	$1,838.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.19 / $15,205.00 / $25,750.00	Facility		$2,062.19	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.63 / $2,062.19 / $2,845.83	Professional		$1,405.63	$2,062.19	$2,845.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,228.91 / $1,566.25 / $1,807.22	Facility		$1,228.91	$1,566.25	$1,807.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,265.05 / $1,445.77 / $1,807.22	Professional		$1,265.05	$1,445.77	$1,807.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.86 / $1,859.92 / $3,611.53	Professional		$1,337.86	$1,859.92	$3,611.53
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 $1,303.19 / $1,693.35 / $2,630.98	Professional		$1,303.19	$1,693.35	$2,630.98