Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.79 / $1,448.26 / $4,846.00	Facility		$1,390.79	$1,448.26	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.19 / $1,448.26 / $1,868.73	Professional		$1,250.19	$1,448.26	$1,868.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,170.50 / $24,214.00 / $45,778.00	Facility		$2,170.50	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.93 / $2,170.50 / $2,995.29	Professional		$1,288.93	$2,170.50	$2,995.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $1,469.94 / $1,696.08	Facility		$1,153.33	$1,469.94	$1,696.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,187.26 / $1,356.86 / $1,696.08	Professional		$1,187.26	$1,356.86	$1,696.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.75 / $1,781.54 / $4,082.70	Professional		$1,284.75	$1,781.54	$4,082.70
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 $1,213.24 / $1,563.21 / $2,460.19	Professional		$1,213.24	$1,563.21	$2,460.19