Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.77 / $2,318.00 / $16,042.00	Facility		$1,028.77	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.24 / $1,028.77 / $1,388.85	Professional		$992.24	$1,028.77	$1,388.85
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 $827.10 / $973.07 / $1,381.75	Professional		$827.10	$973.07	$1,381.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $992.30 / $1,289.99 / $1,488.45	Facility		$992.30	$1,289.99	$1,488.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $992.30 / $1,159.43 / $1,488.45	Professional		$992.30	$1,159.43	$1,488.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.42 / $1,391.87 / $2,464.69	Professional		$1,083.42	$1,391.87	$2,464.69
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 $897.04 / $1,218.32 / $2,182.07	Professional		$897.04	$1,218.32	$2,182.07