Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.83 / $2,318.00 / $16,042.00	Facility		$1,200.83	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.30 / $1,215.71 / $1,635.30	Professional		$1,092.30	$1,215.71	$1,635.30
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 $1,106.68 / $1,709.00 / $2,337.60	Professional		$1,106.68	$1,709.00	$2,337.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,192.18 / $1,636.32 / $2,454.48	Facility		$1,192.18	$1,636.32	$2,454.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.80 / $1,402.56 / $2,103.84	Professional		$1,168.80	$1,402.56	$2,103.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.33 / $1,622.19 / $2,688.24	Professional		$1,268.33	$1,622.19	$2,688.24
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 $1,054.19 / $1,402.56 / $2,507.73	Professional		$1,054.19	$1,402.56	$2,507.73