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 $1,176.33 / $1,471.28 / $1,751.37	Professional		$1,176.33	$1,471.28	$1,751.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $15,205.00 / $25,750.00	Facility		$2,020.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.87 / $2,020.00 / $2,787.60	Professional		$1,324.87	$2,020.00	$2,787.60
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 / $1,900.54 / $4,082.70	Professional		$1,305.17	$1,900.54	$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 $1,232.98 / $1,612.88 / $2,499.29	Professional		$1,232.98	$1,612.88	$2,499.29