Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $4,099.62 / $14,063.00	Facility		$1,386.00	$4,099.62	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,830.45 / $4,099.62 / $6,065.80	Professional		$3,830.45	$4,099.62	$6,065.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $24,214.00 / $45,778.00	Facility		$2,575.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,856.70 / $22,765.08 / $30,732.85	Professional		$11,856.70	$22,765.08	$30,732.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,475.16 / $52,127.43 / $88,309.98	Facility		$3,475.16	$52,127.43	$88,309.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.41 / $13,030.45 / $30,049.91	Professional		$762.41	$13,030.45	$30,049.91
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,061.00 / $19,962.00	Facility		$6,526.00	$14,061.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,478.90 / $13,616.56 / $19,716.11	Professional		$9,478.90	$13,616.56	$19,716.11