Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.63 / $1,579.36 / $4,846.00	Facility		$1,391.63	$1,579.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.34 / $1,391.63 / $1,656.70	Professional		$1,235.34	$1,391.63	$1,656.70
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 $1,269.00 / $1,708.32 / $2,357.48	Professional		$1,269.00	$1,708.32	$2,357.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,309.71 / $1,669.24 / $1,926.05	Facility		$1,309.71	$1,669.24	$1,926.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,284.03 / $1,540.84 / $1,926.05	Professional		$1,284.03	$1,540.84	$1,926.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.89 / $1,763.34 / $2,903.68	Professional		$1,401.89	$1,763.34	$2,903.68
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 $1,168.44 / $1,540.84 / $2,478.76	Professional		$1,168.44	$1,540.84	$2,478.76