Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,318.00 / $16,042.00	Facility		$1,386.00	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.85 / $1,415.73 / $1,919.80	Professional		$1,267.85	$1,415.73	$1,919.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $17,380.30 / $25,253.12	Facility		$4,838.00	$17,380.30	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.74 / $1,946.40 / $2,686.03	Professional		$1,258.74	$1,946.40	$2,686.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,365.29 / $1,774.88 / $2,047.94	Facility		$1,365.29	$1,774.88	$2,047.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,365.29 / $1,604.31 / $2,047.94	Professional		$1,365.29	$1,604.31	$2,047.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.82 / $1,915.04 / $3,081.93	Professional		$1,481.82	$1,915.04	$3,081.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,069.00 / $15,750.00	Facility		$4,472.00	$10,069.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.14 / $1,614.75 / $2,888.80	Professional		$1,228.14	$1,614.75	$2,888.80