Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.73 / $1,400.34 / $4,846.00	Facility		$1,279.73	$1,400.34	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.95 / $1,296.98 / $1,727.63	Professional		$1,166.95	$1,296.98	$1,727.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $33,765.49 / $49,433.26	Facility		$4,800.00	$33,765.49	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.50 / $1,663.50 / $2,295.63	Professional		$1,150.50	$1,663.50	$2,295.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,245.38 / $1,618.99 / $1,868.07	Facility		$1,245.38	$1,618.99	$1,868.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,245.38 / $1,471.31 / $1,868.07	Professional		$1,245.38	$1,471.31	$1,868.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,694.99 / $2,830.19	Professional		$1,350.00	$1,694.99	$2,830.19
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 $1,119.65 / $1,467.99 / $2,676.64	Professional		$1,119.65	$1,467.99	$2,676.64