Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.63 / $2,318.00 / $16,042.00	Facility		$1,096.63	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.54 / $1,108.83 / $1,491.21	Professional		$993.54	$1,108.83	$1,491.21
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 $1,018.50 / $1,536.00 / $2,119.67	Professional		$1,018.50	$1,536.00	$2,119.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,495.73 / $2,243.60	Facility		$1,089.75	$1,495.73	$2,243.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,068.38 / $1,282.06 / $1,923.09	Professional		$1,068.38	$1,282.06	$1,923.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.00 / $1,496.46 / $2,457.28	Professional		$1,177.00	$1,496.46	$2,457.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $11,200.00 / $17,416.00	Facility		$5,058.00	$11,200.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.90 / $1,285.31 / $2,285.40	Professional		$951.90	$1,285.31	$2,285.40