Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.50 / $2,318.00 / $16,042.00	Facility		$1,311.50	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.74 / $1,311.50 / $1,770.52	Professional		$1,170.74	$1,311.50	$1,770.52
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 $1,217.90 / $1,545.40 / $2,132.65	Professional		$1,217.90	$1,545.40	$2,132.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.96 / $1,639.25 / $1,891.44	Facility		$1,260.96	$1,639.25	$1,891.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,260.96 / $1,513.15 / $1,891.44	Professional		$1,260.96	$1,513.15	$1,891.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.63 / $1,767.57 / $2,900.21	Professional		$1,352.63	$1,767.57	$2,900.21
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 $1,188.29 / $1,574.84 / $2,791.18	Professional		$1,188.29	$1,574.84	$2,791.18