Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.91 / $1,458.20 / $4,846.00	Facility		$1,283.91	$1,458.20	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.17 / $1,303.14 / $1,604.89	Professional		$1,215.17	$1,303.14	$1,604.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $10,389.62 / $15,154.00	Facility		$4,800.00	$10,389.62	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.16 / $1,612.00 / $2,224.56	Professional		$1,115.16	$1,612.00	$2,224.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $1,627.60 / $1,878.00	Facility		$1,252.00	$1,627.60	$1,878.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,252.00 / $1,383.46 / $1,878.00	Professional		$1,252.00	$1,383.46	$1,878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.36 / $1,723.27 / $2,804.36	Professional		$1,252.36	$1,723.27	$2,804.36
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 $1,114.08 / $1,520.88 / $2,606.12	Professional		$1,114.08	$1,520.88	$2,606.12