Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.14 / $1,276.19 / $4,846.00	Facility		$1,135.14	$1,276.19	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,155.25 / $1,756.44	Professional		$1,016.00	$1,155.25	$1,756.44
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 $961.00 / $1,484.13 / $2,048.09	Professional		$961.00	$1,484.13	$2,048.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,058.30 / $1,348.82 / $1,556.33	Facility		$1,058.30	$1,348.82	$1,556.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,037.55 / $1,245.06 / $1,556.33	Professional		$1,037.55	$1,245.06	$1,556.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.56 / $1,439.20 / $2,371.44	Professional		$1,182.56	$1,439.20	$2,371.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.98 / $1,316.83 / $2,228.73	Professional		$1,101.98	$1,316.83	$2,228.73