Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.63 / $1,854.00 / $16,042.00	Facility		$1,222.63	$1,854.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.48 / $1,222.63 / $1,866.69	Professional		$1,090.48	$1,222.63	$1,866.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,624.12 / $10,338.00 / $26,304.00	Facility		$1,624.12	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.75 / $1,624.12 / $2,241.28	Professional		$1,008.75	$1,624.12	$2,241.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,139.45 / $1,452.24 / $1,675.67	Facility		$1,139.45	$1,452.24	$1,675.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,117.10 / $1,340.53 / $1,675.67	Professional		$1,117.10	$1,340.53	$1,675.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.84 / $1,587.10 / $2,554.17	Professional		$1,280.84	$1,587.10	$2,554.17
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 $1,188.44 / $1,442.94 / $2,408.51	Professional		$1,188.44	$1,442.94	$2,408.51