Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.29 / $2,712.10 / $17,225.00	Facility		$1,055.29	$2,712.10	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.65 / $1,066.55 / $1,424.64	Professional		$957.65	$1,066.55	$1,424.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,010.00 / $14,096.00 / $30,900.00	Facility		$5,010.00	$14,096.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.69 / $1,495.20 / $2,052.19	Professional		$984.69	$1,495.20	$2,052.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,026.09 / $1,333.93 / $1,539.15	Facility		$1,026.09	$1,333.93	$1,539.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.09 / $1,133.83 / $1,539.15	Professional		$1,026.09	$1,133.83	$1,539.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.86 / $1,427.65 / $2,324.44	Professional		$1,145.86	$1,427.65	$2,324.44
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 $952.48 / $1,254.54 / $2,187.56	Professional		$952.48	$1,254.54	$2,187.56