Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.67 / $1,386.00 / $4,846.00	Facility		$1,150.67	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.66 / $1,151.51 / $1,553.41	Professional		$1,031.66	$1,151.51	$1,553.41
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 $983.24 / $1,566.50 / $2,161.77	Professional		$983.24	$1,566.50	$2,161.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,142.35 / $1,567.94 / $2,351.91	Facility		$1,142.35	$1,567.94	$2,351.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,119.96 / $1,343.95 / $2,015.93	Professional		$1,119.96	$1,343.95	$2,015.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.11 / $1,515.91 / $2,505.77	Professional		$1,213.11	$1,515.91	$2,505.77
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 $1,013.06 / $1,354.82 / $2,345.19	Professional		$1,013.06	$1,354.82	$2,345.19