Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.99 / $1,666.48 / $17,225.00	Facility		$1,010.99	$1,666.48	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.99 / $1,092.29 / $1,425.50	Professional		$1,010.99	$1,092.29	$1,425.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,580.56 / $24,062.10	Facility		$5,091.00	$15,580.56	$24,062.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.32 / $1,317.90 / $1,818.70	Professional		$1,054.32	$1,317.90	$1,818.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,005.80 / $1,281.90 / $1,479.12	Facility		$1,005.80	$1,281.90	$1,479.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $986.08 / $1,183.30 / $1,479.12	Professional		$986.08	$1,183.30	$1,479.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.29 / $1,377.04 / $2,459.57	Professional		$1,026.29	$1,377.04	$2,459.57
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 $1,029.51 / $1,266.02 / $2,129.55	Professional		$1,029.51	$1,266.02	$2,129.55