Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.75 / $1,255.20 / $4,846.00	Facility		$986.75	$1,255.20	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.75 / $1,088.35 / $1,391.31	Professional		$986.75	$1,088.35	$1,391.31
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 $1,003.82 / $1,332.00 / $1,838.16	Professional		$1,003.82	$1,332.00	$1,838.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,017.53 / $1,436.51 / $2,154.77	Facility		$1,017.53	$1,436.51	$2,154.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $976.82 / $1,197.08 / $1,723.80	Professional		$976.82	$1,197.08	$1,723.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.75 / $1,351.90 / $2,188.23	Professional		$1,032.75	$1,351.90	$2,188.23
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 $964.40 / $1,215.24 / $2,017.86	Professional		$964.40	$1,215.24	$2,017.86