Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.97 / $14,790.05 / $34,493.33	Facility		$1,257.97	$14,790.05	$34,493.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.50 / $1,257.97 / $1,698.26	Professional		$1,164.50	$1,257.97	$1,698.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.40 / $10,338.00 / $26,304.00	Facility		$1,852.40	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.32 / $1,532.70 / $2,115.12	Professional		$1,138.32	$1,532.70	$2,115.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.97 / $1,580.76 / $1,823.96	Facility		$1,215.97	$1,580.76	$1,823.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,215.97 / $1,343.65 / $1,823.96	Professional		$1,215.97	$1,343.65	$1,823.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.16 / $1,644.10 / $2,765.98	Professional		$1,250.16	$1,644.10	$2,765.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.41 / $1,469.72 / $2,624.76	Professional		$1,110.41	$1,469.72	$2,624.76