Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.65 / $1,287.91 / $4,846.00	Facility		$1,180.65	$1,287.91	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.42 / $1,234.69 / $1,593.15	Professional		$1,082.42	$1,234.69	$1,593.15
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 $1,070.80 / $1,338.50 / $1,847.13	Professional		$1,070.80	$1,338.50	$1,847.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,019.88 / $1,343.83 / $2,159.73	Facility		$1,019.88	$1,343.83	$2,159.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,007.87 / $1,247.83 / $1,727.79	Professional		$1,007.87	$1,247.83	$1,727.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.29 / $1,640.85 / $3,269.74	Professional		$1,095.29	$1,640.85	$3,269.74
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 $1,081.83 / $1,439.82 / $2,193.26	Professional		$1,081.83	$1,439.82	$2,193.26