Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,147.41 / $16,042.00	Facility		$1,386.00	$3,147.41	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,774.30 / $1,950.58 / $2,665.90	Professional		$1,774.30	$1,950.58	$2,665.90
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 $1,345.80 / $1,583.30 / $2,248.28	Professional		$1,345.80	$1,583.30	$2,248.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.37 / $2,421.08 / $2,793.56	Facility		$1,862.37	$2,421.08	$2,793.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.37 / $2,234.84 / $2,793.56	Professional		$1,862.37	$2,234.84	$2,793.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,950.75 / $2,557.63 / $4,191.74	Professional		$1,950.75	$2,557.63	$4,191.74
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 $1,732.40 / $2,336.98 / $4,076.24	Professional		$1,732.40	$2,336.98	$4,076.24