Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.47 / $3,218.85 / $16,042.00	Facility		$1,252.47	$3,218.85	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.79 / $1,252.47 / $1,663.45	Professional		$1,204.79	$1,252.47	$1,663.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $16,700.00 / $33,821.32	Facility		$2,705.10	$16,700.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,187.10 / $1,859.60 / $2,510.46	Professional		$1,187.10	$1,859.60	$2,510.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,293.19 / $1,703.97 / $2,555.96	Facility		$1,293.19	$1,703.97	$2,555.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,217.11 / $1,521.40 / $2,190.81	Professional		$1,217.11	$1,521.40	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.08 / $1,786.37 / $2,860.71	Professional		$1,309.08	$1,786.37	$2,860.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,330.00 / $17,416.00	Facility		$5,431.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.47 / $1,519.46 / $2,596.27	Professional		$1,107.47	$1,519.46	$2,596.27