Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.14 / $1,544.11 / $4,846.00	Facility		$1,288.14	$1,544.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.14 / $1,392.26 / $1,754.53	Professional		$1,288.14	$1,392.26	$1,754.53
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 $1,448.79 / $1,969.30 / $2,717.63	Professional		$1,448.79	$1,969.30	$2,717.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,280.48 / $1,631.98 / $1,883.06	Facility		$1,280.48	$1,631.98	$1,883.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,255.36 / $1,506.44 / $1,883.06	Professional		$1,255.36	$1,506.44	$1,883.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.11 / $1,819.50 / $2,981.42	Professional		$1,294.11	$1,819.50	$2,981.42
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 $1,316.02 / $1,649.05 / $2,713.34	Professional		$1,316.02	$1,649.05	$2,713.34