Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.96 / $2,318.00 / $16,042.00	Facility		$1,097.96	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.97 / $1,115.63 / $1,525.31	Professional		$1,006.97	$1,115.63	$1,525.31
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 $1,056.58 / $1,629.30 / $2,199.55	Professional		$1,056.58	$1,629.30	$2,199.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.01 / $1,491.98 / $2,237.96	Facility		$1,087.01	$1,491.98	$2,237.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.70 / $1,332.13 / $1,918.26	Professional		$1,065.70	$1,332.13	$1,918.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.23 / $1,558.15 / $2,607.12	Professional		$1,203.23	$1,558.15	$2,607.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.07 / $1,325.68 / $2,340.07	Professional		$970.07	$1,325.68	$2,340.07