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 $2,089.23 / $2,223.03 / $2,559.23	Professional		$2,089.23	$2,223.03	$2,559.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,257.08 / $2,914.53 / $4,450.07	Professional		$2,257.08	$2,914.53	$4,450.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,160.80 / $3,147.39 / $3,389.50	Facility		$2,160.80	$3,147.39	$3,389.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,421.07 / $2,905.28 / $3,443.79	Professional		$2,421.07	$2,905.28	$3,443.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,286.35 / $2,963.74 / $4,569.10	Professional		$2,286.35	$2,963.74	$4,569.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,462.00 / $3,870.00 / $6,474.00	Facility		$2,462.00	$3,870.00	$6,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,126.13 / $2,704.81 / $4,266.18	Professional		$2,126.13	$2,704.81	$4,266.18