Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.32 / $1,471.28 / $4,846.00	Facility		$1,406.32	$1,471.28	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.34 / $1,471.28 / $1,898.43	Professional		$1,270.34	$1,471.28	$1,898.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,951.50 / $15,205.00 / $25,750.00	Facility		$1,951.50	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.71 / $1,951.50 / $2,693.07	Professional		$1,284.71	$1,951.50	$2,693.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,171.81 / $1,493.48 / $1,723.25	Facility		$1,171.81	$1,493.48	$1,723.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,206.27 / $1,378.60 / $1,723.25	Professional		$1,206.27	$1,378.60	$1,723.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.17 / $1,886.22 / $3,810.52	Professional		$1,305.17	$1,886.22	$3,810.52
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 $1,232.98 / $1,564.00 / $2,499.29	Professional		$1,232.98	$1,564.00	$2,499.29