Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.56 / $1,272.04 / $4,846.00	Facility		$1,166.56	$1,272.04	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.03 / $1,213.26 / $1,630.33	Professional		$1,060.03	$1,213.26	$1,630.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,867.10 / $15,205.00 / $25,750.00	Facility		$1,867.10	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.83 / $1,867.10 / $2,576.59	Professional		$1,100.83	$1,867.10	$2,576.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $967.39 / $1,232.95 / $1,422.63	Facility		$967.39	$1,232.95	$1,422.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $995.84 / $1,090.68 / $1,422.63	Professional		$995.84	$1,090.68	$1,422.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.28 / $1,617.45 / $3,070.76	Professional		$1,076.28	$1,617.45	$3,070.76
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 $1,024.51 / $1,314.09 / $2,060.96	Professional		$1,024.51	$1,314.09	$2,060.96