Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.92 / $1,426.13 / $14,063.00	Facility		$1,304.92	$1,426.13	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.82 / $1,365.70 / $1,762.19	Professional		$1,197.82	$1,365.70	$1,762.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,338.00 / $26,304.00	Facility		$2,310.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.59 / $2,727.13 / $3,681.62	Professional		$1,322.59	$2,727.13	$3,681.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,127.21 / $1,485.27 / $2,387.06	Facility		$1,127.21	$1,485.27	$2,387.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,113.96 / $1,379.18 / $1,909.64	Professional		$1,113.96	$1,379.18	$1,909.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.82 / $1,704.46 / $3,599.81	Professional		$1,167.82	$1,704.46	$3,599.81
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 $1,158.76 / $1,536.55 / $2,410.21	Professional		$1,158.76	$1,536.55	$2,410.21