Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.99 / $2,318.00 / $16,042.00	Facility		$1,162.99	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.68 / $1,162.99 / $1,570.04	Professional		$1,102.68	$1,162.99	$1,570.04
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 $1,063.80 / $1,418.70 / $1,957.80	Professional		$1,063.80	$1,418.70	$1,957.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.60 / $1,461.99 / $1,686.92	Facility		$1,124.60	$1,461.99	$1,686.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,124.60 / $1,242.69 / $1,686.92	Professional		$1,124.60	$1,242.69	$1,686.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.88 / $1,532.43 / $2,586.60	Professional		$1,152.88	$1,532.43	$2,586.60
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 $1,043.33 / $1,327.23 / $2,388.89	Professional		$1,043.33	$1,327.23	$2,388.89