Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.79 / $1,386.00 / $4,846.00	Facility		$1,232.79	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.36 / $1,289.16 / $1,663.43	Professional		$1,158.36	$1,289.16	$1,663.43
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 $1,257.68 / $1,572.10 / $2,169.48	Professional		$1,257.68	$1,572.10	$2,169.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,064.91 / $1,403.18 / $2,255.12	Facility		$1,064.91	$1,403.18	$2,255.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.38 / $1,302.95 / $1,804.08	Professional		$1,052.38	$1,302.95	$1,804.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.60 / $1,667.21 / $2,769.12	Professional		$1,143.60	$1,667.21	$2,769.12
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 $1,139.56 / $1,503.41 / $2,370.28	Professional		$1,139.56	$1,503.41	$2,370.28