Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.38 / $1,570.31 / $4,846.00	Facility		$1,507.38	$1,570.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.88 / $1,570.31 / $2,099.86	Professional		$1,305.88	$1,570.31	$2,099.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $32,251.00 / $57,499.79	Facility		$3,650.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.05 / $2,439.30 / $3,366.23	Professional		$1,483.05	$2,439.30	$3,366.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,250.02 / $1,593.16 / $1,838.27	Facility		$1,250.02	$1,593.16	$1,838.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,286.79 / $1,409.34 / $1,838.27	Professional		$1,286.79	$1,409.34	$1,838.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.02 / $2,116.17 / $5,144.20	Professional		$1,393.02	$2,116.17	$5,144.20
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 $1,316.91 / $1,713.03 / $2,667.50	Professional		$1,316.91	$1,713.03	$2,667.50