Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.11 / $1,608.33 / $4,846.00	Facility		$1,539.11	$1,608.33	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.72 / $1,608.33 / $2,075.26	Professional		$1,387.72	$1,608.33	$2,075.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,796.70 / $10,338.00 / $26,304.00	Facility		$1,796.70	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,437.36 / $1,796.70 / $2,479.44	Professional		$1,437.36	$1,796.70	$2,479.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,329.51 / $1,751.83 / $2,765.43	Facility		$1,329.51	$1,751.83	$2,765.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,313.88 / $1,626.70 / $2,252.36	Professional		$1,313.88	$1,626.70	$2,252.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.11 / $1,885.72 / $3,538.91	Professional		$1,390.11	$1,885.72	$3,538.91
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 $1,351.35 / $1,730.68 / $2,732.09	Professional		$1,351.35	$1,730.68	$2,732.09