Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.68 / $1,386.00 / $4,846.00	Facility		$1,285.68	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.00 / $1,344.63 / $1,735.01	Professional		$1,179.00	$1,344.63	$1,735.01
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 $1,171.00 / $1,482.50 / $2,045.85	Professional		$1,171.00	$1,482.50	$2,045.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,110.59 / $1,463.38 / $2,351.87	Facility		$1,110.59	$1,463.38	$2,351.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,097.53 / $1,358.85 / $1,881.48	Professional		$1,097.53	$1,358.85	$1,881.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.92 / $1,570.03 / $2,964.00	Professional		$1,069.92	$1,570.03	$2,964.00
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 $1,140.06 / $1,500.09 / $2,284.14	Professional		$1,140.06	$1,500.09	$2,284.14