Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.08 / $1,386.00 / $4,846.00	Facility		$1,116.08	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.08 / $1,233.28 / $1,573.68	Professional		$1,116.08	$1,233.28	$1,573.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,044.01 / $15,154.00	Facility		$4,800.00	$11,044.01	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.75 / $1,477.80 / $2,039.36	Professional		$1,146.75	$1,477.80	$2,039.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,191.05 / $1,624.16 / $2,436.23	Facility		$1,191.05	$1,624.16	$2,436.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,136.91 / $1,407.60 / $1,948.98	Professional		$1,136.91	$1,407.60	$1,948.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.06 / $1,503.65 / $2,490.37	Professional		$1,160.06	$1,503.65	$2,490.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $5,660.00 / $11,929.00	Facility		$1,917.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.96 / $1,392.24 / $2,285.84	Professional		$1,094.96	$1,392.24	$2,285.84