Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.25 / $1,333.85 / $4,846.00	Facility		$1,147.25	$1,333.85	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.26 / $1,147.25 / $1,365.78	Professional		$1,020.26	$1,147.25	$1,365.78
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 $1,119.54 / $1,433.71 / $1,978.51	Professional		$1,119.54	$1,433.71	$1,978.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,106.11 / $1,409.76 / $1,626.65	Facility		$1,106.11	$1,409.76	$1,626.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,084.43 / $1,301.32 / $1,626.65	Professional		$1,084.43	$1,301.32	$1,626.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.09 / $1,531.90 / $2,390.84	Professional		$1,199.09	$1,531.90	$2,390.84
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 $1,057.88 / $1,337.05 / $2,062.58	Professional		$1,057.88	$1,337.05	$2,062.58