Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.47 / $1,333.15 / $4,846.00	Facility		$1,079.47	$1,333.15	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.47 / $1,127.67 / $1,455.06	Professional		$1,079.47	$1,127.67	$1,455.06
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 $944.72 / $1,180.90 / $1,629.64	Professional		$944.72	$1,180.90	$1,629.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.48 / $1,228.67 / $1,974.65	Facility		$932.48	$1,228.67	$1,974.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $921.50 / $1,140.91 / $1,579.71	Professional		$921.50	$1,140.91	$1,579.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.35 / $1,489.57 / $2,867.94	Professional		$1,000.35	$1,489.57	$2,867.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.91 / $1,311.86 / $1,984.13	Professional		$953.91	$1,311.86	$1,984.13