Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.56 / $1,464.96 / $4,846.00	Facility		$1,402.56	$1,464.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.16 / $1,464.96 / $1,890.28	Professional		$1,283.16	$1,464.96	$1,890.28
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 $1,333.84 / $1,667.30 / $2,300.87	Professional		$1,333.84	$1,667.30	$2,300.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,211.56 / $1,596.41 / $2,565.66	Facility		$1,211.56	$1,596.41	$2,565.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,197.30 / $1,482.38 / $2,052.53	Professional		$1,197.30	$1,482.38	$2,052.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.78 / $1,728.67 / $3,334.50	Professional		$1,251.78	$1,728.67	$3,334.50
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 $1,209.76 / $1,647.78 / $2,551.13	Professional		$1,209.76	$1,647.78	$2,551.13