Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,104.07 / $16,042.00	Facility		$1,386.00	$3,104.07	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.62 / $1,922.91 / $2,586.92	Professional		$1,749.62	$1,922.91	$2,586.92
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 $1,054.42 / $1,240.50 / $1,860.75	Professional		$1,054.42	$1,240.50	$1,860.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,873.46 / $2,571.42 / $3,857.13	Facility		$1,873.46	$2,571.42	$3,857.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,836.73 / $2,204.08 / $3,306.12	Professional		$1,836.73	$2,204.08	$3,306.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.08 / $2,078.94 / $3,306.11	Professional		$1,114.08	$2,078.94	$3,306.11
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 $1,020.51 / $2,036.55 / $3,786.27	Professional		$1,020.51	$2,036.55	$3,786.27