Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.43 / $1,865.08 / $17,225.00	Facility		$1,132.43	$1,865.08	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.43 / $1,209.21 / $1,596.73	Professional		$1,132.43	$1,209.21	$1,596.73
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 $1,099.28 / $1,306.58 / $1,855.34	Professional		$1,099.28	$1,306.58	$1,855.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,125.67 / $1,434.68 / $1,655.40	Facility		$1,125.67	$1,434.68	$1,655.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,103.59 / $1,324.32 / $1,655.40	Professional		$1,103.59	$1,324.32	$1,655.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.76 / $1,532.97 / $2,516.07	Professional		$1,097.76	$1,532.97	$2,516.07
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 $1,152.07 / $1,581.63 / $2,602.52	Professional		$1,152.07	$1,581.63	$2,602.52