Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,553.96 / $11,093.00	Facility		$1,386.00	$2,553.96	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,680.71 / $1,940.13 / $2,503.40	Professional		$1,680.71	$1,940.13	$2,503.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,245.90 / $10,338.00 / $26,304.00	Facility		$2,245.90	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.83 / $2,245.90 / $3,031.96	Professional		$1,549.83	$2,245.90	$3,031.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,541.44 / $1,964.59 / $2,266.83	Facility		$1,541.44	$1,964.59	$2,266.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,541.44 / $1,813.46 / $2,266.83	Professional		$1,541.44	$1,813.46	$2,266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.09 / $2,241.09 / $4,628.34	Professional		$1,721.09	$2,241.09	$4,628.34
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 $1,590.16 / $2,247.64 / $3,358.83	Professional		$1,590.16	$2,247.64	$3,358.83