Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.87 / $3,500.00 / $17,225.00	Facility		$1,487.87	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.59 / $1,487.87 / $2,032.99	Professional		$1,326.59	$1,487.87	$2,032.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $11,294.00 / $22,813.00	Facility		$3,719.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.28 / $1,640.10 / $2,263.33	Professional		$1,260.28	$1,640.10	$2,263.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,466.51 / $2,012.85 / $3,019.28	Facility		$1,466.51	$2,012.85	$3,019.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,437.75 / $1,725.30 / $2,587.94	Professional		$1,437.75	$1,725.30	$2,587.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,571.94 / $6,571.94 / $7,790.39	Facility		$6,571.94	$6,571.94	$7,790.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,413.33 / $1,922.91 / $3,298.70	Professional		$1,413.33	$1,922.91	$3,298.70
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 $1,317.49 / $1,716.27 / $3,130.64	Professional		$1,317.49	$1,716.27	$3,130.64