Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,499.21 / $16,042.00	Facility		$1,386.00	$2,499.21	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.10 / $1,594.68 / $2,135.03	Professional		$1,431.10	$1,594.68	$2,135.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,392.00 / $12,289.00 / $40,869.00	Facility		$4,392.00	$12,289.00	$40,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.27 / $1,731.10 / $2,388.91	Professional		$1,348.27	$1,731.10	$2,388.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,508.41 / $2,070.36 / $3,105.54	Facility		$1,508.41	$2,070.36	$3,105.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,478.83 / $1,848.54 / $2,661.90	Professional		$1,478.83	$1,848.54	$2,661.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,654.48 / $18,654.48 / $22,113.06	Facility		$18,654.48	$18,654.48	$22,113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.44 / $1,982.54 / $3,495.11	Professional		$1,490.44	$1,982.54	$3,495.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,806.00 / $17,589.05	Facility		$4,472.00	$10,806.00	$17,589.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.22 / $1,810.91 / $3,326.00	Professional		$1,376.22	$1,810.91	$3,326.00