Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.04 / $1,282.92 / $4,846.00	Facility		$1,228.04	$1,282.92	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.68 / $1,282.92 / $1,655.38	Professional		$1,110.68	$1,282.92	$1,655.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.50 / $15,205.00 / $25,750.00	Facility		$1,861.50	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,187.31 / $1,861.50 / $2,568.87	Professional		$1,187.31	$1,861.50	$2,568.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,018.38 / $1,297.93 / $1,497.62	Facility		$1,018.38	$1,297.93	$1,497.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,048.33 / $1,198.08 / $1,497.62	Professional		$1,048.33	$1,198.08	$1,497.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.15 / $1,800.00 / $3,810.52	Professional		$1,165.15	$1,800.00	$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 $1,079.03 / $1,440.64 / $2,179.30	Professional		$1,079.03	$1,440.64	$2,179.30