Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,677.20 / $16,042.00	Facility		$1,386.00	$2,677.20	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.99 / $1,654.74 / $2,225.54	Professional		$1,500.99	$1,654.74	$2,225.54
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 $992.20 / $1,167.30 / $1,657.56	Professional		$992.20	$1,167.30	$1,657.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,615.82 / $2,217.80 / $3,326.70	Facility		$1,615.82	$2,217.80	$3,326.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.14 / $1,980.18 / $2,851.46	Professional		$1,584.14	$1,980.18	$2,851.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.66 / $1,803.23 / $2,851.45	Professional		$1,020.66	$1,803.23	$2,851.45
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 $897.23 / $1,702.75 / $3,357.61	Professional		$897.23	$1,702.75	$3,357.61