Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,500.00 / $14,063.00	Facility		$1,386.00	$3,500.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,589.35 / $2,771.43 / $4,100.52	Professional		$2,589.35	$2,771.43	$4,100.52
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 $900.62 / $2,026.40 / $16,161.66	Professional		$900.62	$2,026.40	$16,161.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.78 / $17,867.34 / $43,749.56	Facility		$1,117.78	$17,867.34	$43,749.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,287.77 / $1,287.77 / $1,839.68	Professional		$1,287.77	$1,287.77	$1,839.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42,502.79 / $42,502.79 / $42,502.79	Facility		$42,502.79	$42,502.79	$42,502.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,712.68 / $17,309.04 / $17,309.04	Professional		$14,712.68	$17,309.04	$17,309.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $15,162.00 / $34,989.82	Facility		$6,526.00	$15,162.00	$34,989.82
United Facility/Professional Professional Modifier Low / Median / High Price $8,148.90 / $11,920.08 / $19,375.50	Professional		$8,148.90	$11,920.08	$19,375.50