Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.30 / $1,566.97 / $4,846.00	Facility		$1,304.30	$1,566.97	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.30 / $1,305.81 / $1,739.06	Professional		$1,304.30	$1,305.81	$1,739.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $16,171.76 / $25,437.00	Facility		$5,091.00	$16,171.76	$25,437.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,321.23 / $1,651.54 / $2,345.17	Professional		$1,321.23	$1,651.54	$2,345.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,234.93 / $1,573.94 / $1,816.08	Facility		$1,234.93	$1,573.94	$1,816.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,210.72 / $1,419.04 / $1,816.08	Professional		$1,210.72	$1,419.04	$1,816.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.69 / $1,724.00 / $2,875.39	Professional		$1,245.69	$1,724.00	$2,875.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $12,027.00	Facility		$1,403.00	$5,242.00	$12,027.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.71 / $1,600.78 / $2,857.46	Professional		$1,293.71	$1,600.78	$2,857.46