Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.67 / $1,386.00 / $4,846.00	Facility		$1,115.67	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.67 / $1,207.31 / $1,573.10	Professional		$1,115.67	$1,207.31	$1,573.10
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 $1,247.47 / $1,656.00 / $2,285.28	Professional		$1,247.47	$1,656.00	$2,285.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,183.47 / $1,613.82 / $2,420.73	Facility		$1,183.47	$1,613.82	$2,420.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,129.67 / $1,398.64 / $1,936.59	Professional		$1,129.67	$1,398.64	$1,936.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.97 / $1,565.02 / $2,555.17	Professional		$1,122.97	$1,565.02	$2,555.17
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 $1,160.03 / $1,393.95 / $2,307.13	Professional		$1,160.03	$1,393.95	$2,307.13