Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.24 / $2,318.00 / $14,063.00	Facility		$1,306.24	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.89 / $1,308.20 / $1,770.59	Professional		$1,171.89	$1,308.20	$1,770.59
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 $1,122.11 / $1,496.60 / $2,065.30	Professional		$1,122.11	$1,496.60	$2,065.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,269.45 / $1,650.29 / $1,904.18	Facility		$1,269.45	$1,650.29	$1,904.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,269.45 / $1,487.73 / $1,904.18	Professional		$1,269.45	$1,487.73	$1,904.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.92 / $1,670.80 / $2,846.63	Professional		$1,291.92	$1,670.80	$2,846.63
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 $1,132.91 / $1,499.97 / $2,659.45	Professional		$1,132.91	$1,499.97	$2,659.45