Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.46 / $1,386.00 / $4,846.00	Facility		$1,137.46	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.30 / $1,137.46 / $1,667.73	Professional		$1,106.30	$1,137.46	$1,667.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,881.00 / $23,381.41 / $33,555.00	Facility		$7,881.00	$23,381.41	$33,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.35 / $1,366.70 / $1,886.04	Professional		$1,093.35	$1,366.70	$1,886.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,130.42 / $1,440.73 / $1,662.38	Facility		$1,130.42	$1,440.73	$1,662.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,108.25 / $1,329.90 / $1,662.38	Professional		$1,108.25	$1,329.90	$1,662.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.50 / $1,565.01 / $2,632.05	Professional		$1,117.50	$1,565.01	$2,632.05
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 $1,125.46 / $1,496.65 / $2,319.09	Professional		$1,125.46	$1,496.65	$2,319.09