Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.45 / $2,318.00 / $14,063.00	Facility		$1,193.45	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.70 / $1,193.45 / $1,477.60	Professional		$1,076.70	$1,193.45	$1,477.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.08 / $1,080.09 / $1,519.61	Professional		$864.08	$1,080.09	$1,519.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.16 / $1,423.83 / $1,642.88	Facility		$1,117.16	$1,423.83	$1,642.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,095.25 / $1,314.30 / $1,642.88	Professional		$1,095.25	$1,314.30	$1,642.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.95 / $1,278.11 / $2,199.65	Professional		$948.95	$1,278.11	$2,199.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.65 / $1,250.71 / $2,080.33	Professional		$911.65	$1,250.71	$2,080.33