Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.97 / $1,546.94 / $4,846.00	Facility		$1,276.97	$1,546.94	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.97 / $1,289.11 / $1,702.63	Professional		$1,276.97	$1,289.11	$1,702.63
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 $1,296.16 / $1,620.21 / $2,300.69	Professional		$1,296.16	$1,620.21	$2,300.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.77 / $1,540.59 / $1,777.61	Facility		$1,208.77	$1,540.59	$1,777.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,185.07 / $1,422.08 / $1,777.61	Professional		$1,185.07	$1,422.08	$1,777.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,228.77 / $1,663.66 / $2,814.49	Professional		$1,228.77	$1,663.66	$2,814.49
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 $1,270.71 / $1,571.30 / $2,647.03	Professional		$1,270.71	$1,571.30	$2,647.03