Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,398.80 / $16,042.00	Facility		$1,386.00	$2,398.80	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.23 / $1,481.04 / $1,991.16	Professional		$1,340.23	$1,481.04	$1,991.16
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 $1,263.35 / $1,846.00 / $2,547.48	Professional		$1,263.35	$1,846.00	$2,547.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,447.80 / $1,987.17 / $2,980.76	Facility		$1,447.80	$1,987.17	$2,980.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,419.41 / $1,774.26 / $2,554.94	Professional		$1,419.41	$1,774.26	$2,554.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.68 / $1,889.83 / $3,185.61	Professional		$1,491.68	$1,889.83	$3,185.61
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 $1,275.64 / $1,667.99 / $3,001.63	Professional		$1,275.64	$1,667.99	$3,001.63