Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.61 / $1,656.65 / $4,846.00	Facility		$1,412.61	$1,656.65	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.61 / $1,656.65 / $2,083.44	Professional		$1,412.61	$1,656.65	$2,083.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $10,577.42 / $18,643.75	Facility		$5,091.00	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.09 / $1,015.40 / $1,409.61	Professional		$863.09	$1,015.40	$1,409.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.24 / $1,757.15 / $2,584.04	Facility		$1,220.24	$1,757.15	$2,584.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,205.88 / $1,493.00 / $2,067.23	Professional		$1,205.88	$1,493.00	$2,067.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.06 / $1,854.46 / $3,178.30	Professional		$1,378.06	$1,854.46	$3,178.30
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 $1,371.84 / $1,751.43 / $2,778.65	Professional		$1,371.84	$1,751.43	$2,778.65