Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,000.00 / $11,093.00	Facility		$1,386.00	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,955.47 / $1,979.22 / $2,284.46	Professional		$1,955.47	$1,979.22	$2,284.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.00 / $1,140.00 / $1,539.00	Professional		$969.00	$1,140.00	$1,539.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,350.07 / $4,147.18 / $17,219.81	Facility		$2,350.07	$4,147.18	$17,219.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,982.78 / $3,828.17 / $3,987.68	Professional		$2,982.78	$3,828.17	$3,987.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,623.15 / $2,623.15 / $2,623.15	Facility		$2,623.15	$2,623.15	$2,623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,973.66 / $2,616.46 / $3,717.76	Professional		$1,973.66	$2,616.46	$3,717.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,867.37 / $2,365.33 / $3,717.88	Professional		$1,867.37	$2,365.33	$3,717.88