Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.78 / $1,442.65 / $4,846.00	Facility		$1,267.78	$1,442.65	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.98 / $1,267.78 / $1,509.26	Professional		$1,122.98	$1,267.78	$1,509.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.61 / $1,442.03 / $2,047.68	Professional		$1,153.61	$1,442.03	$2,047.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,196.34 / $1,524.76 / $1,759.34	Facility		$1,196.34	$1,524.76	$1,759.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,172.89 / $1,407.47 / $1,759.34	Professional		$1,172.89	$1,407.47	$1,759.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.57 / $1,606.77 / $2,785.56	Professional		$1,232.57	$1,606.77	$2,785.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,061.00 / $19,962.00	Facility		$6,526.00	$14,061.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.08 / $1,513.90 / $2,258.65	Professional		$1,131.08	$1,513.90	$2,258.65