Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.83 / $1,539.60 / $4,846.00	Facility		$1,291.83	$1,539.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.83 / $1,291.83 / $1,443.24	Professional		$1,291.83	$1,291.83	$1,443.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $17,895.78 / $25,253.12	Facility		$5,091.00	$17,895.78	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.33 / $1,738.60 / $2,399.26	Professional		$1,352.33	$1,738.60	$2,399.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,290.02 / $1,644.15 / $1,897.10	Facility		$1,290.02	$1,644.15	$1,897.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,264.73 / $1,454.44 / $1,897.10	Professional		$1,264.73	$1,454.44	$1,897.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.02 / $1,782.85 / $2,950.07	Professional		$1,421.02	$1,782.85	$2,950.07
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 $1,234.82 / $1,533.09 / $2,551.79	Professional		$1,234.82	$1,533.09	$2,551.79