Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.43 / $1,403.97 / $4,846.00	Facility		$1,342.43	$1,403.97	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.26 / $1,403.97 / $1,811.58	Professional		$1,231.26	$1,403.97	$1,811.58
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 $1,397.30 / $1,748.90 / $2,413.48	Professional		$1,397.30	$1,748.90	$2,413.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,159.63 / $1,527.97 / $2,455.67	Facility		$1,159.63	$1,527.97	$2,455.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,145.98 / $1,418.83 / $1,964.54	Professional		$1,145.98	$1,418.83	$1,964.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.82 / $1,788.67 / $3,116.70	Professional		$1,230.82	$1,788.67	$3,116.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,712.87 / $5,660.00 / $11,929.00	Facility		$1,712.87	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,190.66 / $1,545.41 / $2,451.19	Professional		$1,190.66	$1,545.41	$2,451.19