Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.97 / $1,880.21 / $17,225.00	Facility		$1,215.97	$1,880.21	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.05 / $1,215.97 / $1,447.58	Professional		$1,084.05	$1,215.97	$1,447.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,085.00 / $16,165.29 / $28,794.00	Facility		$6,085.00	$16,165.29	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.80 / $1,611.40 / $2,223.73	Professional		$1,041.80	$1,611.40	$2,223.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.80 / $1,446.32 / $1,668.83	Facility		$1,134.80	$1,446.32	$1,668.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,112.55 / $1,335.06 / $1,668.83	Professional		$1,112.55	$1,335.06	$1,668.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.86 / $1,561.16 / $2,923.15	Professional		$1,273.86	$1,561.16	$2,923.15
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 $1,183.35 / $1,375.40 / $2,254.02	Professional		$1,183.35	$1,375.40	$2,254.02