Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.89 / $2,318.00 / $16,042.00	Facility		$1,153.89	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.84 / $1,169.22 / $1,572.30	Professional		$1,048.84	$1,169.22	$1,572.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $20,184.00 / $30,193.55	Facility		$4,800.00	$20,184.00	$30,193.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.63 / $1,335.20 / $1,842.57	Professional		$1,031.63	$1,335.20	$1,842.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,145.99 / $1,572.93 / $2,359.40	Facility		$1,145.99	$1,572.93	$2,359.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,123.52 / $1,404.40 / $2,022.33	Professional		$1,123.52	$1,404.40	$2,022.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.21 / $1,488.62 / $2,543.86	Professional		$1,149.21	$1,488.62	$2,543.86
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 $1,005.66 / $1,332.88 / $2,393.08	Professional		$1,005.66	$1,332.88	$2,393.08