Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.52 / $1,543.64 / $4,846.00	Facility		$1,472.52	$1,543.64	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.83 / $1,543.64 / $1,991.79	Professional		$1,334.83	$1,543.64	$1,991.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $10,577.42 / $18,643.75	Facility		$5,091.00	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.24 / $1,933.20 / $2,667.81	Professional		$1,428.24	$1,933.20	$2,667.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,271.99 / $1,676.04 / $2,659.13	Facility		$1,271.99	$1,676.04	$2,659.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,257.03 / $1,556.32 / $2,154.90	Professional		$1,257.03	$1,556.32	$2,154.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.36 / $1,955.87 / $4,393.75	Professional		$1,369.36	$1,955.87	$4,393.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.50 / $5,660.00 / $11,929.00	Facility		$1,737.50	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,294.97 / $1,738.66 / $2,622.19	Professional		$1,294.97	$1,738.66	$2,622.19