Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.52 / $1,398.93 / $4,846.00	Facility		$1,145.52	$1,398.93	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.52 / $1,296.09 / $1,615.18	Professional		$1,145.52	$1,296.09	$1,615.18
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 $1,199.76 / $1,568.30 / $2,164.25	Professional		$1,199.76	$1,568.30	$2,164.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.08 / $1,478.54 / $1,706.01	Facility		$1,160.08	$1,478.54	$1,706.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,137.33 / $1,364.81 / $1,706.01	Professional		$1,137.33	$1,364.81	$1,706.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.75 / $1,562.69 / $2,612.59	Professional		$1,180.75	$1,562.69	$2,612.59
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 $1,130.23 / $1,457.21 / $2,730.14	Professional		$1,130.23	$1,457.21	$2,730.14