Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.61 / $1,588.92 / $4,846.00	Facility		$1,521.61	$1,588.92	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.54 / $1,588.92 / $2,050.21	Professional		$1,370.54	$1,588.92	$2,050.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.40 / $15,205.00 / $25,750.00	Facility		$1,839.40	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,434.98 / $1,839.40 / $2,538.37	Professional		$1,434.98	$1,839.40	$2,538.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,261.82 / $1,608.20 / $1,855.62	Facility		$1,261.82	$1,608.20	$1,855.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,261.82 / $1,484.50 / $1,855.62	Professional		$1,261.82	$1,484.50	$1,855.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.67 / $1,889.66 / $3,690.96	Professional		$1,369.67	$1,889.66	$3,690.96
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 $1,335.51 / $1,718.94 / $2,707.70	Professional		$1,335.51	$1,718.94	$2,707.70