Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.65 / $2,472.00 / $17,225.00	Facility		$1,161.65	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.65 / $1,162.52 / $1,548.86	Professional		$1,161.65	$1,162.52	$1,548.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.26 / $1,591.82 / $2,260.38	Professional		$1,230.26	$1,591.82	$2,260.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,100.51 / $1,402.61 / $1,618.40	Facility		$1,100.51	$1,402.61	$1,618.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,078.93 / $1,263.48 / $1,618.40	Professional		$1,078.93	$1,263.48	$1,618.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.95 / $1,547.78 / $2,572.98	Professional		$1,146.95	$1,547.78	$2,572.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.69 / $1,416.59 / $2,330.37	Professional		$1,152.69	$1,416.59	$2,330.37