Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.14 / $1,406.23 / $4,846.00	Facility		$1,250.14	$1,406.23	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.70 / $1,406.23 / $1,814.49	Professional		$1,222.70	$1,406.23	$1,814.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,467.00 / $10,338.00 / $26,304.00	Facility		$1,467.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.59 / $1,467.00 / $2,024.46	Professional		$1,173.59	$1,467.00	$2,024.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,079.89 / $1,485.85 / $2,286.84	Facility		$1,079.89	$1,485.85	$2,286.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,067.19 / $1,321.28 / $1,829.46	Professional		$1,067.19	$1,321.28	$1,829.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.09 / $1,691.36 / $3,393.70	Professional		$1,216.09	$1,691.36	$3,393.70
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 $1,181.84 / $1,537.64 / $2,369.04	Professional		$1,181.84	$1,537.64	$2,369.04