Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.24 / $1,562.44 / $4,846.00	Facility		$1,377.24	$1,562.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.10 / $1,377.24 / $1,799.69	Professional		$1,284.10	$1,377.24	$1,799.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $23,175.52 / $32,252.00	Facility		$5,778.00	$23,175.52	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.83 / $1,948.70 / $2,630.74	Professional		$1,275.83	$1,948.70	$2,630.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,311.40 / $1,704.82 / $1,967.10	Facility		$1,311.40	$1,704.82	$1,967.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,311.40 / $1,573.68 / $1,967.10	Professional		$1,311.40	$1,573.68	$1,967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.19 / $1,928.13 / $3,074.16	Professional		$1,381.19	$1,928.13	$3,074.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,660.00 / $10,926.00	Facility		$1,987.00	$5,660.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.94 / $1,622.26 / $2,825.02	Professional		$1,236.94	$1,622.26	$2,825.02