Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.96 / $1,386.00 / $4,846.00	Facility		$1,139.96	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.96 / $1,217.45 / $1,607.35	Professional		$1,139.96	$1,217.45	$1,607.35
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 $1,275.38 / $1,751.20 / $2,416.65	Professional		$1,275.38	$1,751.20	$2,416.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.40 / $1,667.87 / $2,501.81	Facility		$1,181.40	$1,667.87	$2,501.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,134.15 / $1,445.48 / $2,001.44	Professional		$1,134.15	$1,445.48	$2,001.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.22 / $1,600.42 / $2,742.95	Professional		$1,144.22	$1,600.42	$2,742.95
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 $1,171.26 / $1,394.82 / $2,401.21	Professional		$1,171.26	$1,394.82	$2,401.21