Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.83 / $1,255.02 / $4,846.00	Facility		$1,194.83	$1,255.02	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.13 / $1,246.20 / $1,608.00	Professional		$1,073.13	$1,246.20	$1,608.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,648.10 / $24,214.00 / $45,778.00	Facility		$1,648.10	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.04 / $1,648.10 / $2,274.37	Professional		$1,118.04	$1,648.10	$2,274.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.84 / $1,262.83 / $1,457.12	Facility		$990.84	$1,262.83	$1,457.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,019.98 / $1,165.69 / $1,457.12	Professional		$1,019.98	$1,165.69	$1,457.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.31 / $1,539.58 / $3,864.96	Professional		$1,101.31	$1,539.58	$3,864.96
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 $1,046.18 / $1,365.00 / $2,116.92	Professional		$1,046.18	$1,365.00	$2,116.92