Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.14 / $2,318.00 / $16,042.00	Facility		$1,292.14	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.79 / $1,309.54 / $1,762.23	Professional		$1,179.79	$1,309.54	$1,762.23
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 $1,166.95 / $1,692.60 / $2,335.78	Professional		$1,166.95	$1,692.60	$2,335.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,257.57 / $1,634.84 / $1,886.36	Facility		$1,257.57	$1,634.84	$1,886.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,257.57 / $1,389.61 / $1,886.36	Professional		$1,257.57	$1,389.61	$1,886.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,761.63 / $2,853.32	Professional		$1,350.00	$1,761.63	$2,853.32
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 $1,137.78 / $1,535.09 / $2,704.68	Professional		$1,137.78	$1,535.09	$2,704.68