Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.47 / $1,541.20 / $4,846.00	Facility		$1,473.47	$1,541.20	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.97 / $1,541.20 / $1,988.64	Professional		$1,350.97	$1,541.20	$1,988.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.32 / $1,310.40 / $1,808.35	Professional		$1,048.32	$1,310.40	$1,808.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,272.81 / $1,677.12 / $2,695.37	Facility		$1,272.81	$1,677.12	$2,695.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,257.83 / $1,557.32 / $2,156.30	Professional		$1,257.83	$1,557.32	$2,156.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.19 / $1,964.99 / $3,529.38	Professional		$1,367.19	$1,964.99	$3,529.38
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 $1,274.45 / $1,785.15 / $2,791.01	Professional		$1,274.45	$1,785.15	$2,791.01