Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.19 / $1,312.82 / $4,846.00	Facility		$1,204.19	$1,312.82	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.99 / $1,259.06 / $1,624.59	Professional		$1,103.99	$1,259.06	$1,624.59
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 $1,111.90 / $1,400.00 / $1,932.00	Professional		$1,111.90	$1,400.00	$1,932.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.21 / $1,370.63 / $2,202.80	Facility		$1,040.21	$1,370.63	$2,202.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.97 / $1,272.73 / $1,762.23	Professional		$1,027.97	$1,272.73	$1,762.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.91 / $1,631.70 / $3,458.00	Professional		$1,116.91	$1,631.70	$3,458.00
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 $1,101.30 / $1,470.33 / $2,220.28	Professional		$1,101.30	$1,470.33	$2,220.28