Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.80 / $1,266.56 / $4,846.00	Facility		$1,161.80	$1,266.56	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.76 / $1,214.63 / $1,583.13	Professional		$1,064.76	$1,214.63	$1,583.13
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 $1,143.90 / $1,434.20 / $1,979.19	Professional		$1,143.90	$1,434.20	$1,979.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.59 / $1,322.37 / $2,125.25	Facility		$1,003.59	$1,322.37	$2,125.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $991.78 / $1,227.92 / $1,700.19	Professional		$991.78	$1,227.92	$1,700.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.21 / $1,487.03 / $2,840.50	Professional		$1,038.21	$1,487.03	$2,840.50
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 $1,030.00 / $1,351.46 / $2,130.08	Professional		$1,030.00	$1,351.46	$2,130.08