Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.67 / $1,485.06 / $4,846.00	Facility		$1,420.67	$1,485.06	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.83 / $1,485.06 / $1,916.20	Professional		$1,304.83	$1,485.06	$1,916.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.69 / $15,205.00 / $25,750.00	Facility		$2,258.69	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,403.29 / $2,258.69 / $3,117.00	Professional		$1,403.29	$2,258.69	$3,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,178.11 / $1,501.53 / $1,732.53	Facility		$1,178.11	$1,501.53	$1,732.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,212.77 / $1,386.02 / $1,732.53	Professional		$1,212.77	$1,386.02	$1,732.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.39 / $2,096.80 / $3,772.28	Professional		$1,317.39	$2,096.80	$3,772.28
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 $1,249.64 / $1,668.33 / $2,599.25	Professional		$1,249.64	$1,668.33	$2,599.25