Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,438.38 / $4,846.00	Facility		$1,236.00	$1,438.38	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.65 / $1,260.26 / $1,544.99	Professional		$1,198.65	$1,260.26	$1,544.99
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 $1,022.01 / $1,538.80 / $2,123.54	Professional		$1,022.01	$1,538.80	$2,123.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,280.76 / $1,687.59 / $2,531.39	Facility		$1,280.76	$1,687.59	$2,531.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,205.42 / $1,446.50 / $2,169.75	Professional		$1,205.42	$1,446.50	$2,169.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.60 / $1,695.27 / $2,738.82	Professional		$1,251.60	$1,695.27	$2,738.82
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 $1,058.08 / $1,435.28 / $2,517.01	Professional		$1,058.08	$1,435.28	$2,517.01