Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,598.48 / $16,042.00	Facility		$1,386.00	$2,598.48	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.33 / $1,701.84 / $2,127.67	Professional		$1,471.33	$1,701.84	$2,127.67
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 $1,245.49 / $1,710.00 / $2,359.80	Professional		$1,245.49	$1,710.00	$2,359.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,537.56 / $1,998.83 / $2,306.34	Facility		$1,537.56	$1,998.83	$2,306.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,537.56 / $1,845.07 / $2,306.34	Professional		$1,537.56	$1,845.07	$2,306.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.68 / $1,961.79 / $3,190.03	Professional		$1,569.68	$1,961.79	$3,190.03
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 $1,322.62 / $1,805.17 / $3,210.53	Professional		$1,322.62	$1,805.17	$3,210.53