Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.83 / $1,354.25 / $4,846.00	Facility		$1,072.83	$1,354.25	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.83 / $1,146.31 / $1,512.69	Professional		$1,072.83	$1,146.31	$1,512.69
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 $1,214.33 / $1,582.40 / $2,183.71	Professional		$1,214.33	$1,582.40	$2,183.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,066.88 / $1,359.75 / $1,568.94	Facility		$1,066.88	$1,359.75	$1,568.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,045.96 / $1,202.84 / $1,568.94	Professional		$1,045.96	$1,202.84	$1,568.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.74 / $1,509.64 / $2,484.11	Professional		$1,074.74	$1,509.64	$2,484.11
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 $1,106.18 / $1,388.90 / $2,225.60	Professional		$1,106.18	$1,388.90	$2,225.60