Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.25 / $1,386.00 / $4,846.00	Facility		$1,295.25	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.23 / $1,355.10 / $1,748.52	Professional		$1,188.23	$1,355.10	$1,748.52
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 $1,319.92 / $1,649.90 / $2,276.86	Professional		$1,319.92	$1,649.90	$2,276.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,118.85 / $1,474.27 / $2,369.37	Facility		$1,118.85	$1,474.27	$2,369.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,105.70 / $1,368.97 / $1,895.49	Professional		$1,105.70	$1,368.97	$1,895.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.10 / $1,741.22 / $2,911.58	Professional		$1,202.10	$1,741.22	$2,911.58
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 $1,148.81 / $1,579.58 / $2,385.94	Professional		$1,148.81	$1,579.58	$2,385.94