Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.46 / $1,437.51 / $4,846.00	Facility		$1,199.46	$1,437.51	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.46 / $1,296.65 / $1,633.97	Professional		$1,199.46	$1,296.65	$1,633.97
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 $1,355.69 / $1,731.50 / $2,389.46	Professional		$1,355.69	$1,731.50	$2,389.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,192.08 / $1,519.32 / $1,753.07	Facility		$1,192.08	$1,519.32	$1,753.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.71 / $1,402.45 / $1,753.07	Professional		$1,168.71	$1,402.45	$1,753.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.71 / $1,701.18 / $2,775.63	Professional		$1,202.71	$1,701.18	$2,775.63
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 $1,211.14 / $1,494.47 / $2,526.54	Professional		$1,211.14	$1,494.47	$2,526.54