Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.37 / $1,583.24 / $4,846.00	Facility		$1,513.37	$1,583.24	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.37 / $1,583.24 / $2,042.89	Professional		$1,513.37	$1,583.24	$2,042.89
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 $1,012.18 / $1,190.80 / $1,643.30	Professional		$1,012.18	$1,190.80	$1,643.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,307.28 / $1,722.53 / $2,768.36	Facility		$1,307.28	$1,722.53	$2,768.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,291.90 / $1,599.49 / $2,214.69	Professional		$1,291.90	$1,599.49	$2,214.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.49 / $1,993.81 / $3,434.11	Professional		$1,404.49	$1,993.81	$3,434.11
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 $1,372.43 / $1,870.02 / $2,762.26	Professional		$1,372.43	$1,870.02	$2,762.26