Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.26 / $1,555.32 / $4,846.00	Facility		$1,486.26	$1,555.32	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.01 / $1,555.32 / $2,006.87	Professional		$1,364.01	$1,555.32	$2,006.87
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 $1,295.20 / $1,629.80 / $2,249.12	Professional		$1,295.20	$1,629.80	$2,249.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,283.85 / $1,691.68 / $2,718.77	Facility		$1,283.85	$1,691.68	$2,718.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,268.76 / $1,570.84 / $2,175.02	Professional		$1,268.76	$1,570.84	$2,175.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.27 / $1,815.61 / $3,331.71	Professional		$1,236.27	$1,815.61	$3,331.71
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 $1,259.56 / $1,752.25 / $2,747.33	Professional		$1,259.56	$1,752.25	$2,747.33