Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.83 / $1,561.98 / $5,500.00	Facility		$1,136.83	$1,561.98	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.72 / $1,191.49 / $1,421.19	Professional		$1,032.72	$1,191.49	$1,421.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,048.00 / $36,076.04 / $47,628.00	Facility		$5,048.00	$36,076.04	$47,628.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.58 / $989.48 / $1,365.48	Professional		$791.58	$989.48	$1,365.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.74 / $1,201.53 / $1,386.38	Facility		$942.74	$1,201.53	$1,386.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $942.74 / $1,109.09 / $1,386.38	Professional		$942.74	$1,109.09	$1,386.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.67 / $1,354.05 / $2,195.05	Professional		$1,019.67	$1,354.05	$2,195.05
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 $1,026.83 / $1,382.10 / $2,109.98	Professional		$1,026.83	$1,382.10	$2,109.98