Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.92 / $1,664.86 / $4,846.00	Facility		$1,422.92	$1,664.86	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.38 / $1,453.73 / $1,778.65	Professional		$1,387.38	$1,453.73	$1,778.65
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 $1,252.70 / $1,906.00 / $2,630.28	Professional		$1,252.70	$1,906.00	$2,630.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,386.84 / $1,802.89 / $2,080.26	Facility		$1,386.84	$1,802.89	$2,080.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,386.84 / $1,664.21 / $2,080.26	Professional		$1,386.84	$1,664.21	$2,080.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.74 / $1,942.10 / $3,117.28	Professional		$1,444.74	$1,942.10	$3,117.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,988.44 / $5,660.00 / $10,926.00	Facility		$1,988.44	$5,660.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.64 / $1,707.48 / $2,905.55	Professional		$1,233.64	$1,707.48	$2,905.55