Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.14 / $1,386.00 / $4,846.00	Facility		$1,146.14	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.31 / $1,146.14 / $1,432.67	Professional		$1,089.31	$1,146.14	$1,432.67
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 $1,051.81 / $1,716.50 / $2,317.27	Professional		$1,051.81	$1,716.50	$2,317.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,116.25 / $1,451.13 / $1,674.38	Facility		$1,116.25	$1,451.13	$1,674.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,116.25 / $1,339.50 / $1,674.38	Professional		$1,116.25	$1,339.50	$1,674.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.67 / $1,596.15 / $2,575.29	Professional		$1,172.67	$1,596.15	$2,575.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,475.00 / $14,307.00 / $19,962.00	Facility		$6,475.00	$14,307.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.64 / $1,355.38 / $2,383.11	Professional		$1,025.64	$1,355.38	$2,383.11