Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,582.54 / $16,042.00	Facility		$1,386.00	$2,582.54	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.03 / $1,571.21 / $2,145.42	Professional		$1,446.03	$1,571.21	$2,145.42
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 $1,488.01 / $2,149.90 / $2,966.86	Professional		$1,488.01	$2,149.90	$2,966.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,558.69 / $2,139.38 / $3,209.07	Facility		$1,558.69	$2,139.38	$3,209.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,528.13 / $1,910.16 / $2,750.64	Professional		$1,528.13	$1,910.16	$2,750.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.00 / $2,154.41 / $3,514.69	Professional		$1,694.00	$2,154.41	$3,514.69
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 $1,375.39 / $1,860.83 / $3,293.49	Professional		$1,375.39	$1,860.83	$3,293.49