Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.93 / $1,386.00 / $4,846.00	Facility		$1,117.93	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.32 / $1,117.93 / $1,925.27	Professional		$1,028.32	$1,117.93	$1,925.27
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 $1,131.20 / $1,414.00 / $1,951.32	Professional		$1,131.20	$1,414.00	$1,951.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,111.14 / $1,416.16 / $1,634.03	Facility		$1,111.14	$1,416.16	$1,634.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,089.34 / $1,307.22 / $1,634.03	Professional		$1,089.34	$1,307.22	$1,634.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.39 / $1,632.65 / $2,587.16	Professional		$1,164.39	$1,632.65	$2,587.16
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 $1,051.85 / $1,353.83 / $2,172.02	Professional		$1,051.85	$1,353.83	$2,172.02