Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.79 / $1,171.79 / $2,032.53	Facility		$1,171.79	$1,171.79	$2,032.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.85 / $1,171.79 / $1,443.22	Professional		$1,099.85	$1,171.79	$1,443.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.27 / $1,266.40 / $1,761.25	Professional		$1,022.27	$1,266.40	$1,761.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,226.73 / $1,563.48 / $1,804.02	Facility		$1,226.73	$1,563.48	$1,804.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.68 / $1,443.22 / $1,804.02	Professional		$1,202.68	$1,443.22	$1,804.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,456.32 / $2,628.05	Professional		$1,116.00	$1,456.32	$2,628.05
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 $1,161.66 / $1,398.94 / $2,096.94	Professional		$1,161.66	$1,398.94	$2,096.94