Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.16 / $1,777.31 / $4,846.00	Facility		$1,475.16	$1,777.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.16 / $1,481.09 / $1,966.88	Professional		$1,475.16	$1,481.09	$1,966.88
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 $1,502.92 / $1,878.66 / $2,667.69	Professional		$1,502.92	$1,878.66	$2,667.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,395.88 / $1,779.06 / $2,052.77	Facility		$1,395.88	$1,779.06	$2,052.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,368.51 / $1,573.79 / $2,052.77	Professional		$1,368.51	$1,573.79	$2,052.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.48 / $1,932.17 / $3,364.05	Professional		$1,428.48	$1,932.17	$3,364.05
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 $1,466.83 / $1,794.16 / $3,153.60	Professional		$1,466.83	$1,794.16	$3,153.60