Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,500.00 / $11,093.00	Facility		$1,386.00	$3,500.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.31 / $1,543.80 / $2,170.01	Professional		$1,230.31	$1,543.80	$2,170.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.19 / $996.20 / $1,374.75	Professional		$578.19	$996.20	$1,374.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,536.96 / $6,304.71 / $66,303.89	Facility		$2,536.96	$6,304.71	$66,303.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,663.81 / $5,152.89 / $7,274.67	Professional		$2,663.81	$5,152.89	$7,274.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.73 / $1,314.98 / $1,314.98	Professional		$1,117.73	$1,314.98	$1,314.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,061.00 / $19,962.00	Facility		$6,526.00	$14,061.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.37 / $1,465.50 / $2,650.65	Professional		$1,012.37	$1,465.50	$2,650.65