Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.12 / $1,663.44 / $4,846.00	Facility		$1,590.12	$1,663.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,458.56 / $1,663.44 / $2,146.38	Professional		$1,458.56	$1,663.44	$2,146.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.32 / $2,318.00 / $13,810.27	Facility		$1,603.32	$2,318.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.04 / $1,471.30 / $2,030.39	Professional		$1,177.04	$1,471.30	$2,030.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.64 / $1,680.61 / $1,954.99	Facility		$1,318.64	$1,680.61	$1,954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,357.42 / $1,551.34 / $1,939.17	Professional		$1,357.42	$1,551.34	$1,939.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,475.64 / $2,193.52 / $4,055.89	Professional		$1,475.64	$2,193.52	$4,055.89
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 $1,442.56 / $1,971.66 / $2,933.84	Professional		$1,442.56	$1,971.66	$2,933.84