Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.78 / $1,386.00 / $4,846.00	Facility		$1,079.78	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.91 / $1,094.16 / $1,470.10	Professional		$975.91	$1,094.16	$1,470.10
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 $1,032.14 / $1,623.70 / $2,240.69	Professional		$1,032.14	$1,623.70	$2,240.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.30 / $1,472.21 / $2,208.32	Facility		$1,117.30	$1,472.21	$2,208.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,051.58 / $1,261.90 / $1,892.85	Professional		$1,051.58	$1,261.90	$1,892.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.95 / $1,564.32 / $2,539.19	Professional		$1,165.95	$1,564.32	$2,539.19
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 $939.84 / $1,287.84 / $2,295.96	Professional		$939.84	$1,287.84	$2,295.96