Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.45 / $1,407.48 / $4,846.00	Facility		$1,347.45	$1,407.48	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.98 / $1,407.48 / $1,816.10	Professional		$1,212.98	$1,407.48	$1,816.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,742.80 / $10,338.00 / $26,304.00	Facility		$1,742.80	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.27 / $1,742.80 / $2,405.06	Professional		$1,282.27	$1,742.80	$2,405.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,163.96 / $1,533.69 / $2,416.42	Facility		$1,163.96	$1,533.69	$2,416.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,150.26 / $1,424.14 / $1,971.89	Professional		$1,150.26	$1,424.14	$1,971.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.48 / $1,665.51 / $3,325.00	Professional		$1,220.48	$1,665.51	$3,325.00
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 $1,180.70 / $1,512.77 / $2,390.89	Professional		$1,180.70	$1,512.77	$2,390.89