Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.66 / $1,386.00 / $4,846.00	Facility		$1,285.66	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.47 / $1,343.72 / $1,733.83	Professional		$1,204.47	$1,343.72	$1,733.83
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 $1,045.25 / $1,318.80 / $1,819.94	Professional		$1,045.25	$1,318.80	$1,819.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,110.58 / $1,463.35 / $2,351.82	Facility		$1,110.58	$1,463.35	$2,351.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,097.51 / $1,358.83 / $1,881.45	Professional		$1,097.51	$1,358.83	$1,881.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.17 / $1,717.49 / $3,422.91	Professional		$1,217.17	$1,717.49	$3,422.91
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 $1,153.25 / $1,531.97 / $2,365.85	Professional		$1,153.25	$1,531.97	$2,365.85