Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.86 / $2,318.00 / $14,063.00	Facility		$1,082.86	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.17 / $1,111.58 / $1,475.18	Professional		$1,027.17	$1,111.58	$1,475.18
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 $1,017.36 / $1,549.10 / $2,107.54	Professional		$1,017.36	$1,549.10	$2,107.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.63 / $1,475.28 / $2,212.92	Facility		$1,119.63	$1,475.28	$2,212.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,053.77 / $1,317.21 / $1,896.78	Professional		$1,053.77	$1,317.21	$1,896.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.99 / $1,475.59 / $2,423.67	Professional		$1,150.99	$1,475.59	$2,423.67
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 $959.59 / $1,287.26 / $2,265.98	Professional		$959.59	$1,287.26	$2,265.98