Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.60 / $1,475.63 / $4,846.00	Facility		$1,408.60	$1,475.63	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.96 / $1,475.63 / $1,904.03	Professional		$1,279.96	$1,475.63	$1,904.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,869.90 / $24,214.00 / $45,778.00	Facility		$1,869.90	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.71 / $1,869.90 / $2,580.46	Professional		$1,393.71	$1,869.90	$2,580.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,168.09 / $1,488.76 / $1,717.80	Facility		$1,168.09	$1,488.76	$1,717.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.46 / $1,374.24 / $1,717.80	Professional		$1,202.46	$1,374.24	$1,717.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.02 / $1,810.70 / $3,783.30	Professional		$1,309.02	$1,810.70	$3,783.30
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 $1,249.11 / $1,627.50 / $2,506.66	Professional		$1,249.11	$1,627.50	$2,506.66