Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.10 / $1,386.00 / $4,846.00	Facility		$1,124.10	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.10 / $1,200.50 / $1,584.99	Professional		$1,124.10	$1,200.50	$1,584.99
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 $1,237.81 / $1,614.30 / $2,227.73	Professional		$1,237.81	$1,614.30	$2,227.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,163.83 / $1,643.04 / $2,464.56	Facility		$1,163.83	$1,643.04	$2,464.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,150.13 / $1,423.97 / $1,971.65	Professional		$1,150.13	$1,423.97	$1,971.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.97 / $1,549.45 / $2,601.42	Professional		$1,125.97	$1,549.45	$2,601.42
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 $1,124.33 / $1,385.88 / $2,367.83	Professional		$1,124.33	$1,385.88	$2,367.83