Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.88 / $1,439.03 / $4,846.00	Facility		$1,228.88	$1,439.03	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.19 / $1,228.88 / $1,536.10	Professional		$1,199.19	$1,228.88	$1,536.10
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 $1,298.06 / $1,732.50 / $2,390.85	Professional		$1,298.06	$1,732.50	$2,390.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.85 / $1,556.00 / $1,795.38	Facility		$1,220.85	$1,556.00	$1,795.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,196.92 / $1,436.30 / $1,795.38	Professional		$1,196.92	$1,436.30	$1,795.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.16 / $1,853.10 / $2,842.61	Professional		$1,316.16	$1,853.10	$2,842.61
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 $1,241.73 / $1,539.75 / $2,510.78	Professional		$1,241.73	$1,539.75	$2,510.78