Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.50 / $2,318.00 / $14,063.00	Facility		$1,261.50	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.78 / $1,261.50 / $1,703.02	Professional		$1,109.78	$1,261.50	$1,703.02
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 $1,113.81 / $1,554.70 / $2,145.48	Professional		$1,113.81	$1,554.70	$2,145.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,239.48 / $1,701.25 / $2,551.88	Facility		$1,239.48	$1,701.25	$2,551.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,215.18 / $1,458.22 / $2,187.33	Professional		$1,215.18	$1,458.22	$2,187.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.83 / $1,653.05 / $2,794.92	Professional		$1,224.83	$1,653.05	$2,794.92
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 $1,139.08 / $1,479.71 / $2,657.22	Professional		$1,139.08	$1,479.71	$2,657.22