Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.08 / $1,630.68 / $4,846.00	Facility		$1,362.08	$1,630.68	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.08 / $1,453.74 / $1,920.53	Professional		$1,362.08	$1,453.74	$1,920.53
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 $1,543.39 / $1,996.10 / $2,754.61	Professional		$1,543.39	$1,996.10	$2,754.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,458.34 / $1,988.64 / $2,982.96	Facility		$1,458.34	$1,988.64	$2,982.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,352.28 / $1,723.49 / $2,386.37	Professional		$1,352.28	$1,723.49	$2,386.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.27 / $1,938.08 / $3,148.60	Professional		$1,383.27	$1,938.08	$3,148.60
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 $1,388.44 / $1,706.52 / $2,869.09	Professional		$1,388.44	$1,706.52	$2,869.09