Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.83 / $1,386.00 / $5,634.00	Facility		$1,057.83	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.83 / $1,167.05 / $1,491.54	Professional		$1,057.83	$1,167.05	$1,491.54
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 $1,084.53 / $1,365.30 / $1,884.11	Professional		$1,084.53	$1,365.30	$1,884.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,046.51 / $1,333.79 / $1,538.99	Facility		$1,046.51	$1,333.79	$1,538.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,025.99 / $1,179.89 / $1,538.99	Professional		$1,025.99	$1,179.89	$1,538.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.07 / $1,444.46 / $2,359.78	Professional		$1,049.07	$1,444.46	$2,359.78
United Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $2,811.00 / $4,296.00	Facility		$325.13	$2,811.00	$4,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.42 / $1,252.42 / $2,163.96	Professional		$991.42	$1,252.42	$2,163.96