Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.84 / $1,323.72 / $4,846.00	Facility		$1,048.84	$1,323.72	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.84 / $1,133.59 / $1,428.63	Professional		$1,048.84	$1,133.59	$1,428.63
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 $1,201.39 / $1,614.80 / $2,228.42	Professional		$1,201.39	$1,614.80	$2,228.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,086.10 / $1,533.33 / $2,300.00	Facility		$1,086.10	$1,533.33	$2,300.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,073.33 / $1,328.89 / $1,839.99	Professional		$1,073.33	$1,328.89	$1,839.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.65 / $1,499.90 / $2,570.67	Professional		$1,093.65	$1,499.90	$2,570.67
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 $1,092.49 / $1,311.54 / $2,209.30	Professional		$1,092.49	$1,311.54	$2,209.30