Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.61 / $2,318.00 / $16,042.00	Facility		$1,171.61	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.16 / $1,171.61 / $1,610.15	Professional		$1,076.16	$1,171.61	$1,610.15
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 $1,093.13 / $1,526.10 / $2,106.01	Professional		$1,093.13	$1,526.10	$2,106.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,175.46 / $1,613.37 / $2,420.06	Facility		$1,175.46	$1,613.37	$2,420.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,152.41 / $1,440.51 / $2,074.34	Professional		$1,152.41	$1,440.51	$2,074.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.31 / $1,613.55 / $2,650.55	Professional		$1,234.31	$1,613.55	$2,650.55
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 $1,037.26 / $1,389.45 / $2,466.33	Professional		$1,037.26	$1,389.45	$2,466.33