Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,503.13 / $14,063.00	Facility		$1,386.00	$2,503.13	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.30 / $1,542.33 / $2,090.73	Professional		$1,416.30	$1,542.33	$2,090.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,039.70 / $10,338.00 / $26,304.00	Facility		$2,039.70	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.44 / $2,039.70 / $2,814.78	Professional		$1,413.44	$2,039.70	$2,814.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,481.14 / $1,925.48 / $2,221.71	Facility		$1,481.14	$1,925.48	$2,221.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,481.14 / $1,636.66 / $2,221.71	Professional		$1,481.14	$1,636.66	$2,221.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,955.47 / $4,955.47 / $5,874.22	Facility		$4,955.47	$4,955.47	$5,874.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.29 / $2,091.65 / $3,456.31	Professional		$1,620.29	$2,091.65	$3,456.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.41 / $1,811.69 / $3,307.41	Professional		$1,400.41	$1,811.69	$3,307.41