Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.87 / $2,318.00 / $16,042.00	Facility		$1,349.87	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.73 / $1,418.20 / $1,840.78	Professional		$1,281.73	$1,418.20	$1,840.78
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 $1,257.46 / $1,859.10 / $2,565.55	Professional		$1,257.46	$1,859.10	$2,565.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,340.60 / $1,840.03 / $2,760.05	Facility		$1,340.60	$1,840.03	$2,760.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.31 / $1,642.89 / $2,365.76	Professional		$1,314.31	$1,642.89	$2,365.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.11 / $1,841.11 / $3,022.90	Professional		$1,441.11	$1,841.11	$3,022.90
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 $1,193.31 / $1,600.72 / $2,821.04	Professional		$1,193.31	$1,600.72	$2,821.04