Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.49 / $1,302.35 / $4,846.00	Facility		$1,201.49	$1,302.35	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.45 / $1,256.24 / $1,620.96	Professional		$1,099.45	$1,256.24	$1,620.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,649.50 / $15,205.00 / $25,750.00	Facility		$1,649.50	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $1,649.50 / $2,226.82	Professional		$1,263.08	$1,649.50	$2,226.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.88 / $1,367.55 / $2,197.85	Facility		$1,037.88	$1,367.55	$2,197.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,025.66 / $1,269.86 / $1,758.27	Professional		$1,025.66	$1,269.86	$1,758.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,657.33 / $3,285.29	Professional		$1,090.66	$1,657.33	$3,285.29
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 $1,062.09 / $1,465.23 / $2,209.17	Professional		$1,062.09	$1,465.23	$2,209.17