Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.69 / $1,296.31 / $4,846.00	Facility		$1,046.69	$1,296.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.69 / $1,091.89 / $1,408.89	Professional		$1,046.69	$1,091.89	$1,408.89
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 $1,082.02 / $1,383.60 / $1,909.36	Professional		$1,082.02	$1,383.60	$1,909.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $904.15 / $1,191.35 / $1,914.69	Facility		$904.15	$1,191.35	$1,914.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,106.26 / $1,531.74	Professional		$893.52	$1,106.26	$1,531.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.61 / $1,426.32 / $3,087.50	Professional		$968.61	$1,426.32	$3,087.50
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 $921.16 / $1,236.40 / $1,990.62	Professional		$921.16	$1,236.40	$1,990.62