Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.01 / $1,386.00 / $4,846.00	Facility		$1,205.01	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.02 / $1,205.01 / $1,357.20	Professional		$1,132.02	$1,205.01	$1,357.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,085.00 / $18,927.70 / $28,794.00	Facility		$6,085.00	$18,927.70	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.68 / $1,367.10 / $1,886.59	Professional		$1,093.68	$1,367.10	$1,886.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,286.29 / $1,754.03 / $2,631.05	Facility		$1,286.29	$1,754.03	$2,631.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,192.74 / $1,461.69 / $2,104.83	Professional		$1,192.74	$1,461.69	$2,104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.96 / $1,612.71 / $2,680.93	Professional		$1,276.96	$1,612.71	$2,680.93
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 $1,189.78 / $1,527.59 / $2,765.68	Professional		$1,189.78	$1,527.59	$2,765.68