Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.40 / $1,457.08 / $4,846.00	Facility		$1,409.40	$1,457.08	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.93 / $1,457.08 / $1,843.45	Professional		$1,221.93	$1,457.08	$1,843.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,044.01 / $15,154.00	Facility		$4,800.00	$11,044.01	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,366.67 / $1,763.00 / $2,432.94	Professional		$1,366.67	$1,763.00	$2,432.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,167.09 / $1,487.49 / $1,716.33	Facility		$1,167.09	$1,487.49	$1,716.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,201.43 / $1,373.06 / $1,716.33	Professional		$1,201.43	$1,373.06	$1,716.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.51 / $1,719.16 / $3,477.05	Professional		$1,315.51	$1,719.16	$3,477.05
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 $1,227.77 / $1,616.66 / $2,436.23	Professional		$1,227.77	$1,616.66	$2,436.23