Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.76 / $1,481.90 / $4,846.00	Facility		$1,261.76	$1,481.90	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.92 / $1,289.24 / $1,577.20	Professional		$1,234.92	$1,289.24	$1,577.20
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 $1,150.50 / $1,782.20 / $2,459.42	Professional		$1,150.50	$1,782.20	$2,459.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.47 / $1,599.61 / $1,845.71	Facility		$1,230.47	$1,599.61	$1,845.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.47 / $1,359.67 / $1,845.71	Professional		$1,230.47	$1,359.67	$1,845.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.79 / $1,766.46 / $2,867.78	Professional		$1,290.79	$1,766.46	$2,867.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.51 / $1,513.48 / $2,550.21	Professional		$1,108.51	$1,513.48	$2,550.21