Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.68 / $1,613.96 / $4,846.00	Facility		$1,525.68	$1,613.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.26 / $1,613.96 / $2,082.53	Professional		$1,408.26	$1,613.96	$2,082.53
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 $1,470.40 / $1,838.00 / $2,536.44	Professional		$1,470.40	$1,838.00	$2,536.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,317.91 / $1,736.55 / $2,790.89	Facility		$1,317.91	$1,736.55	$2,790.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,302.41 / $1,612.51 / $2,232.71	Professional		$1,302.41	$1,612.51	$2,232.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,416.23 / $2,023.65 / $4,019.65	Professional		$1,416.23	$2,023.65	$4,019.65
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 $1,360.87 / $1,802.17 / $2,794.70	Professional		$1,360.87	$1,802.17	$2,794.70