Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.18 / $1,470.30 / $4,846.00	Facility		$1,214.18	$1,470.30	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.18 / $1,225.25 / $1,618.90	Professional		$1,214.18	$1,225.25	$1,618.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,044.01 / $15,154.00	Facility		$4,800.00	$11,044.01	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.09 / $1,593.29 / $2,253.94	Professional		$1,238.09	$1,593.29	$2,253.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,149.51 / $1,465.06 / $1,690.46	Facility		$1,149.51	$1,465.06	$1,690.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,126.97 / $1,352.36 / $1,690.46	Professional		$1,126.97	$1,352.36	$1,690.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.65 / $1,600.54 / $2,609.33	Professional		$1,174.65	$1,600.54	$2,609.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.86 / $1,384.76 / $2,349.60	Professional		$1,205.86	$1,384.76	$2,349.60