Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.64 / $2,318.00 / $16,042.00	Facility		$1,128.64	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.74 / $1,141.41 / $1,532.72	Professional		$1,019.74	$1,141.41	$1,532.72
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 $1,052.15 / $1,537.90 / $2,122.30	Professional		$1,052.15	$1,537.90	$2,122.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,168.43 / $1,539.58 / $2,309.37	Facility		$1,168.43	$1,539.58	$2,309.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,099.70 / $1,319.64 / $1,979.46	Professional		$1,099.70	$1,319.64	$1,979.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.75 / $1,540.15 / $2,529.30	Professional		$1,192.75	$1,540.15	$2,529.30
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 $996.41 / $1,327.71 / $2,334.15	Professional		$996.41	$1,327.71	$2,334.15