Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.42 / $1,338.19 / $4,846.00	Facility		$1,060.42	$1,338.19	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.42 / $1,132.86 / $1,495.19	Professional		$1,060.42	$1,132.86	$1,495.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,580.56 / $24,062.10	Facility		$5,091.00	$15,580.56	$24,062.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.64 / $1,485.80 / $2,050.40	Professional		$1,188.64	$1,485.80	$2,050.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,098.05 / $1,446.84 / $2,325.29	Facility		$1,098.05	$1,446.84	$2,325.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.13 / $1,343.50 / $1,860.23	Professional		$1,085.13	$1,343.50	$1,860.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.68 / $1,503.84 / $2,376.96	Professional		$1,062.68	$1,503.84	$2,376.96
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 $1,073.04 / $1,366.28 / $2,438.98	Professional		$1,073.04	$1,366.28	$2,438.98