Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.65 / $1,386.00 / $4,846.00	Facility		$1,136.65	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.70 / $1,136.65 / $1,420.81	Professional		$1,105.70	$1,136.65	$1,420.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.26 / $970.90 / $1,456.35	Professional		$825.26	$970.90	$1,456.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,129.63 / $1,439.72 / $1,661.22	Facility		$1,129.63	$1,439.72	$1,661.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,107.48 / $1,273.59 / $1,661.22	Professional		$1,107.48	$1,273.59	$1,661.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.26 / $1,707.25 / $2,893.79	Professional		$1,216.26	$1,707.25	$2,893.79
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 $1,108.03 / $1,421.75 / $2,318.36	Professional		$1,108.03	$1,421.75	$2,318.36