Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.96 / $2,318.00 / $16,042.00	Facility		$1,219.96	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.45 / $1,223.08 / $1,646.95	Professional		$1,095.45	$1,223.08	$1,646.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.58 / $1,550.50 / $2,139.69	Professional		$1,081.58	$1,550.50	$2,139.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,185.30 / $1,540.89 / $1,777.95	Facility		$1,185.30	$1,540.89	$1,777.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,185.30 / $1,422.36 / $1,777.95	Professional		$1,185.30	$1,422.36	$1,777.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.05 / $1,613.14 / $2,659.29	Professional		$1,221.05	$1,613.14	$2,659.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.09 / $1,351.71 / $2,345.48	Professional		$999.09	$1,351.71	$2,345.48