Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,396.00 / $14,063.00	Facility		$1,386.00	$3,396.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.57 / $1,480.91 / $1,685.28	Professional		$1,364.57	$1,480.91	$1,685.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $7,833.00 / $14,645.00	Facility		$3,536.00	$7,833.00	$14,645.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.09 / $1,783.35 / $2,669.47	Professional		$1,410.09	$1,783.35	$2,669.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,429.55 / $2,082.26 / $2,242.44	Facility		$1,429.55	$2,082.26	$2,242.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,601.74 / $1,922.09 / $2,277.26	Professional		$1,601.74	$1,922.09	$2,277.26
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 $1,497.92 / $1,868.93 / $3,021.39	Professional		$1,497.92	$1,868.93	$3,021.39
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 $1,243.31 / $1,767.86 / $2,958.88	Professional		$1,243.31	$1,767.86	$2,958.88