Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.22 / $1,449.57 / $4,846.00	Facility		$1,386.22	$1,449.57	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.34 / $1,449.57 / $1,870.41	Professional		$1,270.34	$1,449.57	$1,870.41
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 $1,017.20 / $1,271.50 / $1,754.67	Professional		$1,017.20	$1,271.50	$1,754.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.45 / $1,577.81 / $2,535.78	Facility		$1,197.45	$1,577.81	$2,535.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,183.35 / $1,465.11 / $2,028.62	Professional		$1,183.35	$1,465.11	$2,028.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.90 / $1,832.72 / $3,699.18	Professional		$1,285.90	$1,832.72	$3,699.18
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 $1,227.22 / $1,625.76 / $2,524.60	Professional		$1,227.22	$1,625.76	$2,524.60