Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.50 / $1,386.00 / $4,846.00	Facility		$1,295.50	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.50 / $1,354.65 / $1,747.93	Professional		$1,186.50	$1,354.65	$1,747.93
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 $1,178.30 / $1,484.40 / $2,048.46	Professional		$1,178.30	$1,484.40	$2,048.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.08 / $1,474.55 / $2,369.82	Facility		$1,119.08	$1,474.55	$2,369.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,105.91 / $1,369.23 / $1,895.85	Professional		$1,105.91	$1,369.23	$1,895.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.70 / $1,729.92 / $3,431.54	Professional		$1,201.70	$1,729.92	$3,431.54
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 $1,146.40 / $1,559.20 / $2,400.52	Professional		$1,146.40	$1,559.20	$2,400.52