Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.59 / $2,318.00 / $14,063.00	Facility		$1,330.59	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.29 / $1,330.59 / $1,796.30	Professional		$1,222.29	$1,330.59	$1,796.30
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 $1,177.79 / $1,610.10 / $2,221.92	Professional		$1,177.79	$1,610.10	$2,221.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,286.48 / $1,672.42 / $1,929.72	Facility		$1,286.48	$1,672.42	$1,929.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,286.48 / $1,481.42 / $1,929.72	Professional		$1,286.48	$1,481.42	$1,929.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.72 / $1,705.15 / $2,958.91	Professional		$1,270.72	$1,705.15	$2,958.91
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 $1,184.40 / $1,516.60 / $2,797.41	Professional		$1,184.40	$1,516.60	$2,797.41