Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.44 / $2,140.67 / $9,550.00	Facility		$1,336.44	$2,140.67	$9,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.44 / $1,403.82 / $1,649.95	Professional		$1,336.44	$1,403.82	$1,649.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $32,251.00 / $57,499.79	Facility		$3,650.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.24 / $2,624.50 / $3,543.07	Professional		$1,385.24	$2,624.50	$3,543.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,161.86 / $1,480.82 / $1,708.64	Facility		$1,161.86	$1,480.82	$1,708.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,161.86 / $1,366.91 / $1,708.64	Professional		$1,161.86	$1,366.91	$1,708.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.93 / $1,726.13 / $3,464.34	Professional		$1,423.93	$1,726.13	$3,464.34
United Facility/Professional Facility Modifier Low / Median / High Price $10,376.00 / $15,196.00 / $24,960.00	Facility		$10,376.00	$15,196.00	$24,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.83 / $1,534.13 / $2,491.21	Professional		$1,219.83	$1,534.13	$2,491.21