Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.36 / $1,347.23 / $4,846.00	Facility		$1,067.36	$1,347.23	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.36 / $1,140.28 / $1,504.99	Professional		$1,067.36	$1,140.28	$1,504.99
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 $1,208.50 / $1,564.60 / $2,159.14	Professional		$1,208.50	$1,564.60	$2,159.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,061.24 / $1,352.56 / $1,560.65	Facility		$1,061.24	$1,352.56	$1,560.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,040.43 / $1,219.25 / $1,560.65	Professional		$1,040.43	$1,219.25	$1,560.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.97 / $1,515.12 / $2,470.98	Professional		$1,084.97	$1,515.12	$2,470.98
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 $1,095.14 / $1,375.00 / $2,238.76	Professional		$1,095.14	$1,375.00	$2,238.76