Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.69 / $1,934.14 / $5,500.00	Facility		$1,407.69	$1,934.14	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.48 / $1,501.66 / $1,916.60	Professional		$1,300.48	$1,501.66	$1,916.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,446.00 / $18,496.73 / $25,750.00	Facility		$7,446.00	$18,496.73	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.49 / $2,539.06 / $3,427.73	Professional		$1,278.49	$2,539.06	$3,427.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,167.34 / $1,487.80 / $1,716.69	Facility		$1,167.34	$1,487.80	$1,716.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,201.68 / $1,373.35 / $1,716.69	Professional		$1,201.68	$1,373.35	$1,716.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.63 / $1,758.93 / $3,351.56	Professional		$1,295.63	$1,758.93	$3,351.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.39 / $1,636.05 / $2,656.93	Professional		$1,269.39	$1,636.05	$2,656.93