Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.60 / $2,453.00 / $16,042.00	Facility		$1,067.60	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.60 / $1,135.16 / $1,294.41	Professional		$1,067.60	$1,135.16	$1,294.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $10,284.00 / $16,778.00	Facility		$3,536.00	$10,284.00	$16,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.22 / $1,268.59 / $1,709.05	Professional		$992.22	$1,268.59	$1,709.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,035.53 / $1,386.32 / $2,096.96	Facility		$1,035.53	$1,386.32	$2,096.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,035.53 / $1,294.41 / $1,863.96	Professional		$1,035.53	$1,294.41	$1,863.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.39 / $1,401.73 / $2,319.90	Professional		$1,353.39	$1,401.73	$2,319.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,699.00 / $7,818.00 / $11,038.00	Facility		$2,699.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.84 / $1,253.66 / $2,248.81	Professional		$938.84	$1,253.66	$2,248.81