Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.58 / $1,386.00 / $4,846.00	Facility		$1,102.58	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.58 / $1,177.61 / $1,554.64	Professional		$1,102.58	$1,177.61	$1,554.64
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 $1,251.30 / $1,573.50 / $2,171.42	Professional		$1,251.30	$1,573.50	$2,171.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,141.78 / $1,611.92 / $2,417.88	Facility		$1,141.78	$1,611.92	$2,417.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,128.33 / $1,396.99 / $1,934.30	Professional		$1,128.33	$1,396.99	$1,934.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.69 / $1,571.17 / $2,552.16	Professional		$1,104.69	$1,571.17	$2,552.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $5,660.00 / $11,929.00	Facility		$1,917.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.45 / $1,394.43 / $2,353.81	Professional		$1,136.45	$1,394.43	$2,353.81